{
"description": "Profile on the Composition resource which represents the nursing handoff for adults (Overdrachtsbericht Volwassenen) for eOverdracht conform information standard ['Verpleegkundige zorg'](https://informatiestandaarden.nictiz.nl/wiki/Landingspagina_Verpleegkundige_Zorg)",
"_filename": "eOverdracht-NursingHandoff-Adults.json",
"package_name": "nictiz.fhir.nl.stu3.eoverdracht",
"date": null,
"derivation": "constraint",
"publisher": "Nictiz",
"fhirVersion": "3.0.2",
"purpose": "The purpose of this nursing handoff is to enable the health organization that receives it to continue the care for patients/clients of 18 years and older.",
"name": "eOverdrachtNursingHandoffAdults",
"mapping": [ {
"uri": "https://decor.nictiz.nl/art-decor/decor-scenarios--e-overdracht-?id=2.16.840.1.113883.2.4.3.11.60.30.4.68",
"name": "eOverdracht 4.0 transaction \"Sturen overdrachtsbericht volwassenen\"",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"abstract": false,
"copyright": "CC0",
"type": "Composition",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "eOverdracht nursing handoff adults",
"package_version": "4.2.0-beta.2",
"snapshot": {
"element": [ {
"constraint": [ {
"key": "dom-2",
"human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"xpath": "not(parent::f:contained and f:contained)",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
"severity": "error",
"expression": "contained.contained.empty()"
}, {
"key": "dom-1",
"human": "If the resource is contained in another resource, it SHALL NOT contain any narrative",
"xpath": "not(parent::f:contained and f:text)",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
"severity": "error",
"expression": "contained.text.empty()"
}, {
"key": "dom-4",
"human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
"severity": "error",
"expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"
}, {
"key": "dom-3",
"human": "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource",
"xpath": "not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
"severity": "error",
"expression": "contained.where(('#'+id in %resource.descendants().reference).not()).empty()"
} ],
"path": "Composition",
"min": 0,
"definition": "A set of healthcare-related information that is assembled together into a single logical document that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation with regard to who is making the statement. While a Composition defines the structure, it does not actually contain the content: rather the full content of a document is contained in a Bundle, of which the Composition is the first resource contained.",
"short": "A set of resources composed into a single coherent clinical statement with clinical attestation",
"mapping": [ {
"map": "Entity. Role, or Act",
"identity": "rim"
}, {
"map": "Document[classCode=\"DOC\" and moodCode=\"EVN\" and isNormalAct()]",
"identity": "rim"
}, {
"map": "ClinicalDocument",
"identity": "cda"
}, {
"map": "infrastructure.documents",
"identity": "w5"
} ],
"max": "*",
"id": "Composition",
"comment": "While the focus of this specification is on patient-specific clinical statements, this resource can also apply to other healthcare-related statements such as study protocol designs, healthcare invoices and other activities that are not necessarily patient-specific or clinical.",
"base": {
"max": "*",
"min": 0,
"path": "Resource"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.id",
"min": 0,
"definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"short": "Logical id of this artifact",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "id"
} ],
"max": "1",
"id": "Composition.id",
"condition": [ "ele-1" ],
"comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
"base": {
"max": "1",
"min": 0,
"path": "Resource.id"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.meta",
"min": 0,
"definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.",
"short": "Metadata about the resource",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Meta"
} ],
"max": "1",
"id": "Composition.meta",
"condition": [ "ele-1" ],
"base": {
"max": "1",
"min": 0,
"path": "Resource.meta"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.implicitRules",
"min": 0,
"definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.",
"isModifier": true,
"short": "A set of rules under which this content was created",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "uri"
} ],
"max": "1",
"id": "Composition.implicitRules",
"condition": [ "ele-1" ],
"comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. \n\nThis element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.",
"base": {
"max": "1",
"min": 0,
"path": "Resource.implicitRules"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.language",
"min": 0,
"definition": "The base language in which the resource is written.",
"short": "Language of the resource content",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "extensible",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueReference": {
"reference": "http://hl7.org/fhir/ValueSet/all-languages"
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "Language"
} ],
"description": "A human language.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/languages"
}
},
"max": "1",
"id": "Composition.language",
"condition": [ "ele-1" ],
"comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
"base": {
"max": "1",
"min": 0,
"path": "Resource.language"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.text",
"min": 0,
"definition": "A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
"short": "Text summary of the resource, for human interpretation",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
}, {
"map": "Act.text?",
"identity": "rim"
} ],
"type": [ {
"code": "Narrative"
} ],
"alias": [ "narrative", "html", "xhtml", "display" ],
"max": "1",
"id": "Composition.text",
"condition": [ "ele-1", "dom-1" ],
"comment": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded in formation is added later.",
"base": {
"max": "1",
"min": 0,
"path": "DomainResource.text"
}
}, {
"path": "Composition.contained",
"min": 0,
"definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
"short": "Contained, inline Resources",
"mapping": [ {
"map": "Entity. Role, or Act",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Resource"
} ],
"alias": [ "inline resources", "anonymous resources", "contained resources" ],
"max": "*",
"id": "Composition.contained",
"comment": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.contained"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Composition.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Composition.modifierExtension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.modifierExtension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.identifier",
"min": 0,
"definition": "Logical identifier for the composition, assigned when created. This identifier stays constant as the composition is changed over time.",
"short": "Logical identifier of composition (version-independent)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)",
"identity": "v2"
}, {
"map": "II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]",
"identity": "rim"
}, {
"map": "Identifier",
"identity": "servd"
}, {
"map": "Document.id / Document.setId",
"identity": "rim"
}, {
"map": ".setId",
"identity": "cda"
}, {
"map": "id",
"identity": "w5"
} ],
"type": [ {
"code": "Identifier"
} ],
"max": "1",
"id": "Composition.identifier",
"condition": [ "ele-1" ],
"comment": "See discussion in resource definition for how these relate.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.identifier"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.status",
"requirements": "Need to be able to mark interim, amended, or withdrawn compositions or documents.",
"min": 1,
"definition": "The workflow/clinical status of this composition. The status is a marker for the clinical standing of the document.",
"isModifier": true,
"short": "preliminary | final | amended | entered-in-error",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "interim: .completionCode=\"IN\" & ./statusCode[isNormalDatatype()]=\"active\"; final: .completionCode=\"AU\" && ./statusCode[isNormalDatatype()]=\"complete\" and not(./inboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()]/source[subsumesCode(\"ActClass#CACT\") and moodCode=\"EVN\" and domainMember(\"ReviseComposition\", code) and isNormalAct()]); amended: .completionCode=\"AU\" && ./statusCode[isNormalDatatype()]=\"complete\" and ./inboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()]/source[subsumesCode(\"ActClass#CACT\") and moodCode=\"EVN\" and domainMember(\"ReviseComposition\", code) and isNormalAct() and statusCode=\"completed\"]; withdrawn : .completionCode=NI && ./statusCode[isNormalDatatype()]=\"obsolete\"",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
}, {
"map": "status",
"identity": "w5"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CompositionStatus"
} ],
"description": "The workflow/clinical status of the composition.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/composition-status"
}
},
"max": "1",
"id": "Composition.status",
"condition": [ "ele-1" ],
"comment": "If a composition is marked as withdrawn, the compositions/documents in the series, or data from the composition or document series, should never be displayed to a user without being clearly marked as untrustworthy. The flag \"entered-in-error\" is why this element is labeled as a modifier of other elements. \n\nSome reporting work flows require that the original narrative of a final document never be altered; instead, only new narrative can be added. The composition resource has no explicit status for explicitly noting whether this business rule is in effect. This would be handled by an extension if required.",
"base": {
"max": "1",
"min": 1,
"path": "Composition.status"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.type",
"requirements": "Key metadata element describing the composition, used in searching/filtering.",
"min": 1,
"definition": "Specifies the particular kind of composition (e.g. History and Physical, Discharge Summary, Progress Note). This usually equates to the purpose of making the composition.",
"short": "Kind of composition (LOINC if possible)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": "./code",
"identity": "rim"
}, {
"map": ".code",
"identity": "cda"
}, {
"map": "class",
"identity": "w5"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "DocumentType"
} ],
"description": "Type of a composition.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/doc-typecodes"
}
},
"max": "1",
"id": "Composition.type",
"condition": [ "ele-1" ],
"comment": "For Composition type, LOINC is ubiquitous and strongly endorsed by HL7. Most implementation guides will require a specific LOINC code, or use LOINC as an extensible binding.",
"patternCodeableConcept": {
"coding": [ {
"code": "11171000146100",
"system": "http://snomed.info/sct"
} ]
},
"base": {
"max": "1",
"min": 1,
"path": "Composition.type"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.class",
"requirements": "Helps humans to assess whether the composition is of interest when viewing an index of compositions or documents.",
"min": 0,
"definition": "A categorization for the type of the composition - helps for indexing and searching. This may be implied by or derived from the code specified in the Composition Type.",
"short": "Categorization of Composition",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
}, {
"map": "class",
"identity": "w5"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "DocumentClass"
} ],
"description": "High-level kind of a clinical document at a macro level.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/doc-classcodes"
}
},
"max": "1",
"id": "Composition.class",
"condition": [ "ele-1" ],
"comment": "This is a metadata field from [XDS/MHD](http://wiki.ihe.net/index.php?title=Mobile_access_to_Health_Documents_(MHD)).",
"base": {
"max": "1",
"min": 0,
"path": "Composition.class"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.subject",
"requirements": "Essential metadata for searching for the composition. Identifies who and/or what the composition/document is about.",
"min": 1,
"definition": "Who or what the composition is about. The composition can be about a person, (patient or healthcare practitioner), a device (e.g. a machine) or even a group of subjects (such as a document about a herd of livestock, or a set of patients that share a common exposure).",
"short": "Who and/or what the composition is about",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".participation[typeCode=\"SBJ\"].role[typeCode=\"PAT\"]",
"identity": "rim"
}, {
"map": ".recordTarget",
"identity": "cda"
}, {
"map": "who.focus",
"identity": "w5"
}, {
"map": "e-overdracht-dataelement-v4-4",
"comment": "Patient",
"identity": "eOverdracht-NursingHandoff-Adults"
}, {
"map": "e-overdracht-dataelement-v4-272",
"comment": "LevensovertuigingRC (extension in Patient resource)",
"identity": "eOverdracht-NursingHandoff-Adults"
}, {
"map": "e-overdracht-dataelement-v4-320",
"comment": "Taalvaardigheid (on Patient.communication)",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient"
} ],
"max": "1",
"id": "Composition.subject",
"condition": [ "ele-1" ],
"comment": "For clinical documents, this is usually the patient.",
"base": {
"max": "1",
"min": 1,
"path": "Composition.subject"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.encounter",
"requirements": "Provides context for the composition and supports searching.",
"min": 0,
"definition": "Describes the clinical encounter or type of care this documentation is associated with.",
"short": "Context of the Composition",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": "unique(highest(./outboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()], priorityNumber)/target[moodCode=\"EVN\" and classCode=(\"ENC\", \"PCPR\") and isNormalAct])",
"identity": "rim"
}, {
"map": ".componentOf.encompassingEncounter",
"identity": "cda"
}, {
"map": "context",
"identity": "w5"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Encounter"
} ],
"max": "1",
"id": "Composition.encounter",
"condition": [ "ele-1" ],
"comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.encounter"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.date",
"requirements": "dateTime is used for tracking, organizing versions and searching.",
"min": 1,
"definition": "The composition editing time, when the composition was last logically changed by the author.",
"short": "Composition editing time",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": ".effectiveTime[type=\"TS\"]",
"identity": "rim"
}, {
"map": ".effectiveTime",
"identity": "cda"
}, {
"map": "when.done",
"identity": "w5"
} ],
"type": [ {
"code": "dateTime"
} ],
"max": "1",
"id": "Composition.date",
"condition": [ "ele-1" ],
"comment": "The Last Modified Date on the composition may be after the date of the document was attested without being changed.",
"base": {
"max": "1",
"min": 1,
"path": "Composition.date"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.author",
"requirements": "Identifies who is responsible for the content.",
"min": 1,
"definition": "The person responsible for the content of the nursing handoff. Alternatively, this may be the sending XIS.",
"short": "Who or what authored the nursing handoff",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]",
"identity": "rim"
}, {
"map": ".author.assignedAuthor",
"identity": "cda"
}, {
"map": "who.author",
"identity": "w5"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Practitioner"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Device"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Patient"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/RelatedPerson"
}, {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner"
}, {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceProduct"
} ],
"max": "*",
"id": "Composition.author",
"condition": [ "ele-1" ],
"comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.",
"base": {
"max": "*",
"min": 1,
"path": "Composition.author"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.title",
"min": 1,
"definition": "Official human-readable label for the composition.",
"short": "Human Readable name/title",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "./title",
"identity": "rim"
}, {
"map": ".title",
"identity": "cda"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "Composition.title",
"condition": [ "ele-1" ],
"comment": "For many compositions, the title is the same as the text or a display name of Composition.type (e.g. a \"consultation\" or \"progress note\"). Note that CDA does not make title mandatory, but there are no known cases where it is useful for title to be omitted, so it is mandatory here. Feedback on this requirement is welcome during the trial use period.",
"defaultValueString": "Nursing handoff",
"base": {
"max": "1",
"min": 1,
"path": "Composition.title"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.confidentiality",
"min": 0,
"definition": "The code specifying the level of confidentiality of the Composition.",
"isModifier": true,
"short": "As defined by affinity domain",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": ".confidentialityCode",
"identity": "rim"
}, {
"map": ".confidentialityCode",
"identity": "cda"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "DocumentConfidentiality"
} ],
"description": "Codes specifying the level of confidentiality of the composition.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/v3-ConfidentialityClassification"
}
},
"max": "1",
"id": "Composition.confidentiality",
"condition": [ "ele-1" ],
"comment": "The exact use of this element, and enforcement and issues related to highly sensitive documents are out of scope for the base specification, and delegated to implementation profiles (see security section).\n\nThis element is labeled as a modifier because highly confidential documents must not be treated as if they are not.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.confidentiality"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.attester",
"requirements": "Identifies responsibility for the accuracy of the composition content.",
"min": 0,
"definition": "A participant who has attested to the accuracy of the composition/document.",
"short": "Attests to accuracy of composition",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": ".participation[typeCode=\"AUTHEN\"].role[classCode=\"ASSIGNED\"]",
"identity": "rim"
}, {
"map": ".authenticator/.legalAuthenticator",
"identity": "cda"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"max": "*",
"id": "Composition.attester",
"condition": [ "ele-1" ],
"comment": "Only list each attester once.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.attester"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.attester.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Composition.attester.id",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings may not exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.attester.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Composition.attester.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.attester.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Composition.attester.modifierExtension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.attester.mode",
"requirements": "Indicates the level of authority of the attestation.",
"min": 1,
"definition": "The type of attestation the authenticator offers.",
"short": "personal | professional | legal | official",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "unique(./modeCode)",
"identity": "rim"
}, {
"map": "implied by .authenticator/.legalAuthenticator",
"identity": "cda"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CompositionAttestationMode"
} ],
"description": "The way in which a person authenticated a composition.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/composition-attestation-mode"
}
},
"max": "*",
"id": "Composition.attester.mode",
"condition": [ "ele-1" ],
"comment": "Use more than one code where a single attester has more than one mode (professional and legal are often paired).",
"base": {
"max": "*",
"min": 1,
"path": "Composition.attester.mode"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.attester.time",
"requirements": "Identifies when the information in the composition was deemed accurate. (Things may have changed since then.).",
"min": 0,
"definition": "When the composition was attested by the party.",
"short": "When the composition was attested",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "./time[type=\"TS\" and isNormalDatatype()]",
"identity": "rim"
}, {
"map": ".authenticator.time",
"identity": "cda"
} ],
"type": [ {
"code": "dateTime"
} ],
"max": "1",
"id": "Composition.attester.time",
"condition": [ "ele-1" ],
"base": {
"max": "1",
"min": 0,
"path": "Composition.attester.time"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.attester.party",
"requirements": "Identifies who has taken on the responsibility for accuracy of the composition content.",
"min": 0,
"definition": "Who attested the composition in the specified way.",
"short": "Who attested the composition",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": "./role[classCode=\"ASSIGNED\" and isNormalRole]/player[determinerCode=\"INST\" and classCode=(\"DEV\", \"PSN\") and isNormalEntity()] or ./role[classCode=\"ASSIGNED\" and isNormalRole and not(player)]/scoper[determinerCode=\"INST\" and classCode=\"ORG\" and isNormalEntity()]",
"identity": "rim"
}, {
"map": ".authenticator.assignedEnttty",
"identity": "cda"
}, {
"map": "who.witness",
"identity": "w5"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Patient"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Practitioner"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Organization"
} ],
"max": "1",
"id": "Composition.attester.party",
"condition": [ "ele-1" ],
"comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.attester.party"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.custodian",
"requirements": "Identifies where to go to find the current version, where to report issues, etc.",
"min": 0,
"definition": "Identifies the organization or group who is responsible for ongoing maintenance of and access to the composition/document information.",
"short": "Organization which maintains the composition",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".participation[typeCode=\"RCV\"].role[classCode=\"CUST\"].scoper[classCode=\"ORG\" and determinerCode=\"INST\"]",
"identity": "rim"
}, {
"map": ".custodian.assignedCustodian",
"identity": "cda"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Organization"
} ],
"max": "1",
"id": "Composition.custodian",
"condition": [ "ele-1" ],
"comment": "This is useful when documents are derived from a composition - provides guidance for how to get the latest version of the document. This is optional because this is sometimes not known by the authoring system, and can be inferred by context. However, it is important that this information be known when working with a derived document, so providing a custodian is encouraged.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.custodian"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.relatesTo",
"min": 0,
"definition": "Relationships that this composition has with other compositions or documents that already exist.",
"short": "Relationships to other compositions/documents",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": ".outboundRelationship",
"identity": "rim"
}, {
"map": ".relatedDocument",
"identity": "cda"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"max": "*",
"id": "Composition.relatesTo",
"condition": [ "ele-1" ],
"comment": "A document is a version specific composition.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.relatesTo"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.relatesTo.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Composition.relatesTo.id",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings may not exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.relatesTo.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Composition.relatesTo.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.relatesTo.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Composition.relatesTo.modifierExtension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.relatesTo.code",
"min": 1,
"definition": "The type of relationship that this composition has with anther composition or document.",
"short": "replaces | transforms | signs | appends",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": ".outboundRelationship.typeCode",
"identity": "rim"
}, {
"map": ".relatedDocument.typeCode",
"identity": "cda"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "DocumentRelationshipType"
} ],
"description": "The type of relationship between documents.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/document-relationship-type"
}
},
"max": "1",
"id": "Composition.relatesTo.code",
"condition": [ "ele-1" ],
"comment": "If this document appends another document, then the document cannot be fully understood without also accessing the referenced document.",
"base": {
"max": "1",
"min": 1,
"path": "Composition.relatesTo.code"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.relatesTo.target[x]",
"min": 1,
"definition": "The target composition/document of this relationship.",
"short": "Target of the relationship",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": ".target[classCode=\"DOC\", moodCode=\"EVN\"].id",
"identity": "rim"
}, {
"map": ".relatedDocument.id",
"identity": "cda"
} ],
"type": [ {
"code": "Identifier"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Composition"
} ],
"max": "1",
"id": "Composition.relatesTo.target[x]",
"condition": [ "ele-1" ],
"base": {
"max": "1",
"min": 1,
"path": "Composition.relatesTo.target[x]"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.event",
"requirements": "Provides context for the composition and creates a linkage between a resource describing an event and the composition created describing the event.",
"min": 0,
"definition": "The clinical service, such as a colonoscopy or an appendectomy, being documented.",
"short": "The clinical service(s) being documented",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "outboundRelationship[typeCode=\"SUBJ\"].target[classCode<'ACT']",
"identity": "rim"
}, {
"map": ".documentationOf.serviceEvent",
"identity": "cda"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"max": "*",
"id": "Composition.event",
"condition": [ "ele-1" ],
"comment": "The event needs to be consistent with the type element, though can provide further information if desired.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.event"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.event.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Composition.event.id",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings may not exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.event.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Composition.event.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.event.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Composition.event.modifierExtension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.event.code",
"min": 0,
"definition": "This list of codes represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented. In some cases, the event is inherent in the typeCode, such as a \"History and Physical Report\" in which the procedure being documented is necessarily a \"History and Physical\" act.",
"short": "Code(s) that apply to the event being documented",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".code",
"identity": "rim"
}, {
"map": ".code",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "DocumentEventType"
} ],
"description": "This list of codes represents the main clinical acts being documented.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/v3-ActCode"
}
},
"max": "*",
"id": "Composition.event.code",
"condition": [ "ele-1" ],
"comment": "An event can further specialize the act inherent in the typeCode, such as where it is simply \"Procedure Report\" and the procedure was a \"colonoscopy\". If one or more eventCodes are included, they SHALL NOT conflict with the values inherent in the classCode, practiceSettingCode or typeCode, as such a conflict would create an ambiguous situation. This short list of codes is provided to be used as key words for certain types of queries.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.event.code"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "per-1",
"human": "If present, start SHALL have a lower value than end",
"xpath": "not(exists(f:start)) or not(exists(f:end)) or (f:start/@value <= f:end/@value)",
"source": "http://hl7.org/fhir/StructureDefinition/Period",
"severity": "error",
"expression": "start.empty() or end.empty() or (start <= end)"
} ],
"path": "Composition.event.period",
"min": 0,
"definition": "The period of time covered by the documentation. There is no assertion that the documentation is a complete representation for this period, only that it documents events during this time.",
"short": "The period covered by the documentation",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "DR",
"identity": "v2"
}, {
"map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]",
"identity": "rim"
}, {
"map": ".effectiveTime",
"identity": "rim"
}, {
"map": ".effectiveTime",
"identity": "cda"
} ],
"type": [ {
"code": "Period"
} ],
"max": "1",
"id": "Composition.event.period",
"condition": [ "ele-1" ],
"comment": "This is not a duration - that's a measure of time (a separate type), but a duration that occurs at a fixed value of time. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. \"the patient was an inpatient of the hospital for this time range\") or one value from the range applies (e.g. \"give to the patient between these two times\"). If duration is required, specify the type as Interval|Duration.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.event.period"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.event.detail",
"min": 0,
"definition": "The description and/or reference of the event(s) being documented. For example, this could be used to document such a colonoscopy or an appendectomy.",
"short": "The event(s) being documented",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=\"SUBJ\"].target",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
} ],
"max": "*",
"id": "Composition.event.detail",
"condition": [ "ele-1" ],
"comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.event.detail"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "cmp-1",
"human": "A section must at least one of text, entries, or sub-sections",
"xpath": "exists(f:text) or exists(f:entry) or exists(f:section)",
"source": "http://hl7.org/fhir/StructureDefinition/Composition",
"severity": "error",
"expression": "text.exists() or entry.exists() or section.exists()"
}, {
"key": "cmp-2",
"human": "A section can only have an emptyReason if it is empty",
"xpath": "not(exists(f:emptyReason) and exists(f:entry))",
"source": "http://hl7.org/fhir/StructureDefinition/Composition",
"severity": "error",
"expression": "emptyReason.empty() or entry.empty()"
} ],
"path": "Composition.section",
"min": 1,
"definition": "The root of the sections that make up the composition.",
"short": "Composition is broken into sections",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.structuredBody.component.section",
"identity": "cda"
} ],
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "code",
"type": "value"
} ]
},
"type": [ {
"code": "BackboneElement"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "Section"
} ],
"max": "*",
"id": "Composition.section",
"condition": [ "ele-1" ],
"base": {
"max": "*",
"min": 0,
"path": "Composition.section"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Composition.section.id",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings may not exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Composition.section.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Composition.section.modifierExtension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.title",
"requirements": "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"min": 0,
"definition": "The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.",
"short": "Label for section (e.g. for ToC)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "./title",
"identity": "rim"
}, {
"map": ".title",
"identity": "cda"
} ],
"type": [ {
"code": "string"
} ],
"alias": [ "header", "label", "caption" ],
"max": "1",
"id": "Composition.section.title",
"condition": [ "ele-1" ],
"comment": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.title"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.code",
"requirements": "Provides computable standardized labels to topics within the document.",
"min": 0,
"definition": "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
"short": "Classification of section (recommended)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": "./code",
"identity": "rim"
}, {
"map": ".code",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CompositionSectionType"
} ],
"description": "Classification of a section of a composition/document.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"max": "1",
"id": "Composition.section.code",
"condition": [ "ele-1" ],
"comment": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.code"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.text",
"min": 0,
"definition": "A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative.",
"short": "Text summary of the section, for human interpretation",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
}, {
"map": ".text",
"identity": "rim"
}, {
"map": ".text",
"identity": "cda"
} ],
"type": [ {
"code": "Narrative"
} ],
"max": "1",
"id": "Composition.section.text",
"condition": [ "ele-1", "cmp-1" ],
"comment": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.text"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.mode",
"requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min": 0,
"definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"isModifier": true,
"short": "working | snapshot | changes",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
}, {
"map": "class",
"identity": "w5"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionMode"
} ],
"description": "The processing mode that applies to this section.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"max": "1",
"id": "Composition.section.mode",
"condition": [ "ele-1" ],
"comment": "This element is labeled as a modifier because a change list must not be mis-understood as a complete list.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.mode"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.orderedBy",
"requirements": "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min": 0,
"definition": "Specifies the order applied to the items in the section entries.",
"short": "Order of section entries",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEntryOrder"
} ],
"description": "What order applies to the items in the entry.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-order"
}
},
"max": "1",
"id": "Composition.section.orderedBy",
"condition": [ "ele-1" ],
"comment": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.orderedBy"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "A reference to data that supports this section",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
} ],
"max": "*",
"id": "Composition.section.entry",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.emptyReason",
"requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
"min": 0,
"definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"short": "Why the section is empty",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEmptyReason"
} ],
"description": "If a section is empty, why it is empty.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"max": "1",
"id": "Composition.section.emptyReason",
"condition": [ "ele-1", "cmp-2" ],
"comment": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.emptyReason"
}
}, {
"path": "Composition.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Nested Section",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
} ],
"contentReference": "#Composition.section",
"max": "*",
"id": "Composition.section.section",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "cmp-1",
"human": "A section must at least one of text, entries, or sub-sections",
"xpath": "exists(f:text) or exists(f:entry) or exists(f:section)",
"source": "http://hl7.org/fhir/StructureDefinition/Composition",
"severity": "error",
"expression": "text.exists() or entry.exists() or section.exists()"
}, {
"key": "cmp-2",
"human": "A section can only have an emptyReason if it is empty",
"xpath": "not(exists(f:emptyReason) and exists(f:entry))",
"source": "http://hl7.org/fhir/StructureDefinition/Composition",
"severity": "error",
"expression": "emptyReason.empty() or entry.empty()"
} ],
"path": "Composition.section",
"min": 1,
"definition": "Section for administrative data, including date of transfer, contact person and payer details, and details of the sending and receiving organizations.",
"short": "Administrative data",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.structuredBody.component.section",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-1",
"comment": "Administratieve gegevens",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"sliceName": "administrativeData",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "Section"
} ],
"max": "1",
"id": "Composition.section:administrativeData",
"condition": [ "ele-1" ],
"base": {
"max": "*",
"min": 0,
"path": "Composition.section"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Composition.section:administrativeData.id",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings may not exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.extension",
"min": 1,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Composition.section:administrativeData.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.extension",
"min": 1,
"definition": "Captures the planned transfer date, which can change in the actual transfer phase.",
"short": "Planned transfer date",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/eOverdracht-TransferDate"
} ],
"sliceName": "transferDate",
"alias": [ "extensions", "user content" ],
"max": "1",
"id": "Composition.section:administrativeData.extension:transferDate",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.extension.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Composition.section:administrativeData.extension:transferDate.id",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings may not exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.extension.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Composition.section:administrativeData.extension:transferDate.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"short": "identifies the meaning of the extension",
"fixedUri": "http://nictiz.nl/fhir/StructureDefinition/eOverdracht-TransferDate",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "uri"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Composition.section:administrativeData.extension:transferDate.url",
"condition": [ "ele-1" ],
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.extension.valueDateTime",
"min": 0,
"definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
"short": "Value of extension",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
}, {
"map": "e-overdracht-dataelement-v4-2",
"comment": "Datum overplaatsing",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "dateTime"
} ],
"sliceName": "valueDateTime",
"max": "1",
"id": "Composition.section:administrativeData.extension:transferDate.valueDateTime:valueDateTime",
"condition": [ "ele-1" ],
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Composition.section:administrativeData.modifierExtension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.title",
"requirements": "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"min": 0,
"definition": "The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.",
"short": "Label for section (e.g. for ToC)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "./title",
"identity": "rim"
}, {
"map": ".title",
"identity": "cda"
} ],
"type": [ {
"code": "string"
} ],
"alias": [ "header", "label", "caption" ],
"max": "1",
"id": "Composition.section:administrativeData.title",
"condition": [ "ele-1" ],
"comment": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
"defaultValueString": "Administrative data",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.title"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.code",
"requirements": "Provides computable standardized labels to topics within the document.",
"min": 1,
"definition": "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
"short": "Classification of section (recommended)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": "./code",
"identity": "rim"
}, {
"map": ".code",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CompositionSectionType"
} ],
"description": "Classification of a section of a composition/document.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"max": "1",
"id": "Composition.section:administrativeData.code",
"condition": [ "ele-1" ],
"comment": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
"patternCodeableConcept": {
"coding": [ {
"code": "405624007",
"system": "http://snomed.info/sct"
} ]
},
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.code"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.text",
"min": 0,
"definition": "A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative.",
"short": "Text summary of the section, for human interpretation",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
}, {
"map": ".text",
"identity": "rim"
}, {
"map": ".text",
"identity": "cda"
} ],
"type": [ {
"code": "Narrative"
} ],
"max": "1",
"id": "Composition.section:administrativeData.text",
"condition": [ "ele-1", "cmp-1" ],
"comment": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.text"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.mode",
"requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min": 0,
"definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"isModifier": true,
"short": "working | snapshot | changes",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
}, {
"map": "class",
"identity": "w5"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionMode"
} ],
"description": "The processing mode that applies to this section.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"max": "1",
"id": "Composition.section:administrativeData.mode",
"condition": [ "ele-1" ],
"comment": "This element is labeled as a modifier because a change list must not be mis-understood as a complete list.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.mode"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.orderedBy",
"requirements": "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min": 0,
"definition": "Specifies the order applied to the items in the section entries.",
"short": "Order of section entries",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEntryOrder"
} ],
"description": "What order applies to the items in the entry.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-order"
}
},
"max": "1",
"id": "Composition.section:administrativeData.orderedBy",
"condition": [ "ele-1" ],
"comment": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.orderedBy"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "A reference to data that supports this section",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
} ],
"max": "0",
"id": "Composition.section:administrativeData.entry",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.emptyReason",
"requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
"min": 0,
"definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"short": "Why the section is empty",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEmptyReason"
} ],
"description": "If a section is empty, why it is empty.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"max": "1",
"id": "Composition.section:administrativeData.emptyReason",
"condition": [ "ele-1", "cmp-2" ],
"comment": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.emptyReason"
}
}, {
"path": "Composition.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Nested Section",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
} ],
"contentReference": "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "code",
"type": "value"
} ]
},
"max": "*",
"id": "Composition.section:administrativeData.section",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"path": "Composition.section.section",
"min": 1,
"definition": "Subsection listing personal data of the payer and contact persons of the patient.",
"short": "Personal data",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-3",
"comment": "Persoonsgegevens",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"sliceName": "personalData",
"max": "1",
"id": "Composition.section:administrativeData.section:personalData",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Composition.section:administrativeData.section:personalData.id",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings may not exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Composition.section:administrativeData.section:personalData.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Composition.section:administrativeData.section:personalData.modifierExtension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.title",
"requirements": "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"min": 0,
"definition": "The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.",
"short": "Label for section (e.g. for ToC)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "./title",
"identity": "rim"
}, {
"map": ".title",
"identity": "cda"
} ],
"type": [ {
"code": "string"
} ],
"alias": [ "header", "label", "caption" ],
"max": "1",
"id": "Composition.section:administrativeData.section:personalData.title",
"condition": [ "ele-1" ],
"comment": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
"defaultValueString": "Personal data",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.title"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.code",
"requirements": "Provides computable standardized labels to topics within the document.",
"min": 1,
"definition": "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
"short": "Classification of section (recommended)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": "./code",
"identity": "rim"
}, {
"map": ".code",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CompositionSectionType"
} ],
"description": "Classification of a section of a composition/document.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"max": "1",
"id": "Composition.section:administrativeData.section:personalData.code",
"condition": [ "ele-1" ],
"comment": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
"patternCodeableConcept": {
"coding": [ {
"code": "302147001",
"system": "http://snomed.info/sct"
} ]
},
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.code"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.text",
"min": 0,
"definition": "A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative.",
"short": "Text summary of the section, for human interpretation",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
}, {
"map": ".text",
"identity": "rim"
}, {
"map": ".text",
"identity": "cda"
} ],
"type": [ {
"code": "Narrative"
} ],
"max": "1",
"id": "Composition.section:administrativeData.section:personalData.text",
"condition": [ "ele-1", "cmp-1" ],
"comment": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.text"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.mode",
"requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min": 0,
"definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"isModifier": true,
"short": "working | snapshot | changes",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
}, {
"map": "class",
"identity": "w5"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionMode"
} ],
"description": "The processing mode that applies to this section.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"max": "1",
"id": "Composition.section:administrativeData.section:personalData.mode",
"condition": [ "ele-1" ],
"comment": "This element is labeled as a modifier because a change list must not be mis-understood as a complete list.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.mode"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.orderedBy",
"requirements": "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min": 0,
"definition": "Specifies the order applied to the items in the section entries.",
"short": "Order of section entries",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEntryOrder"
} ],
"description": "What order applies to the items in the entry.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-order"
}
},
"max": "1",
"id": "Composition.section:administrativeData.section:personalData.orderedBy",
"condition": [ "ele-1" ],
"comment": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.orderedBy"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "A reference to data that supports this section",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
} ],
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "resolve()",
"type": "profile"
} ]
},
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
} ],
"max": "*",
"id": "Composition.section:administrativeData.section:personalData.entry",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 1,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "A reference to payer data",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-45",
"comment": "Betaler",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Payer"
} ],
"sliceName": "payer",
"max": "*",
"id": "Composition.section:administrativeData.section:personalData.entry:payer",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "Legal Representative",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-64",
"comment": "Contactpersoon",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson"
} ],
"sliceName": "relatedPerson",
"max": "*",
"id": "Composition.section:administrativeData.section:personalData.entry:relatedPerson",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.emptyReason",
"requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
"min": 0,
"definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"short": "Why the section is empty",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEmptyReason"
} ],
"description": "If a section is empty, why it is empty.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"max": "1",
"id": "Composition.section:administrativeData.section:personalData.emptyReason",
"condition": [ "ele-1", "cmp-2" ],
"comment": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.emptyReason"
}
}, {
"path": "Composition.section.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Nested Section",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
} ],
"contentReference": "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
"max": "0",
"id": "Composition.section:administrativeData.section:personalData.section",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"path": "Composition.section.section",
"min": 1,
"definition": "Subsection listing data about the sending organization.",
"short": "Sending Organization",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-101",
"comment": "Sturende organisatie",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"sliceName": "sendingOrganization",
"max": "1",
"id": "Composition.section:administrativeData.section:sendingOrganization",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Composition.section:administrativeData.section:sendingOrganization.id",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings may not exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Composition.section:administrativeData.section:sendingOrganization.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Composition.section:administrativeData.section:sendingOrganization.modifierExtension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.title",
"requirements": "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"min": 0,
"definition": "The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.",
"short": "Label for section (e.g. for ToC)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "./title",
"identity": "rim"
}, {
"map": ".title",
"identity": "cda"
} ],
"type": [ {
"code": "string"
} ],
"alias": [ "header", "label", "caption" ],
"max": "1",
"id": "Composition.section:administrativeData.section:sendingOrganization.title",
"condition": [ "ele-1" ],
"comment": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
"defaultValueString": "Sending organization",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.title"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.code",
"requirements": "Provides computable standardized labels to topics within the document.",
"min": 1,
"definition": "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
"short": "Classification of section (recommended)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": "./code",
"identity": "rim"
}, {
"map": ".code",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CompositionSectionType"
} ],
"description": "Classification of a section of a composition/document.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"max": "1",
"id": "Composition.section:administrativeData.section:sendingOrganization.code",
"condition": [ "ele-1" ],
"comment": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
"patternCodeableConcept": {
"coding": [ {
"code": "185362004",
"system": "http://snomed.info/sct"
} ]
},
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.code"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.text",
"min": 0,
"definition": "A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative.",
"short": "Text summary of the section, for human interpretation",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
}, {
"map": ".text",
"identity": "rim"
}, {
"map": ".text",
"identity": "cda"
} ],
"type": [ {
"code": "Narrative"
} ],
"max": "1",
"id": "Composition.section:administrativeData.section:sendingOrganization.text",
"condition": [ "ele-1", "cmp-1" ],
"comment": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.text"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.mode",
"requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min": 0,
"definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"isModifier": true,
"short": "working | snapshot | changes",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
}, {
"map": "class",
"identity": "w5"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionMode"
} ],
"description": "The processing mode that applies to this section.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"max": "1",
"id": "Composition.section:administrativeData.section:sendingOrganization.mode",
"condition": [ "ele-1" ],
"comment": "This element is labeled as a modifier because a change list must not be mis-understood as a complete list.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.mode"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.orderedBy",
"requirements": "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min": 0,
"definition": "Specifies the order applied to the items in the section entries.",
"short": "Order of section entries",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEntryOrder"
} ],
"description": "What order applies to the items in the entry.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-order"
}
},
"max": "1",
"id": "Composition.section:administrativeData.section:sendingOrganization.orderedBy",
"condition": [ "ele-1" ],
"comment": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.orderedBy"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 1,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "A reference to data about the sending organization",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
} ],
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "resolve()",
"type": "profile"
} ]
},
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
} ],
"max": "*",
"id": "Composition.section:administrativeData.section:sendingOrganization.entry",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 1,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "Organization",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-102",
"comment": "Zorgaanbieder",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-organization"
} ],
"sliceName": "organization",
"max": "1",
"id": "Composition.section:administrativeData.section:sendingOrganization.entry:organization",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 1,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "Practitioner",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-130",
"comment": "Sturende organisatie::Zorgverlener",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner"
} ],
"sliceName": "practitioner",
"max": "1",
"id": "Composition.section:administrativeData.section:sendingOrganization.entry:practitioner",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 1,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "Practitioner Role",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-130",
"comment": "Sturende organisatie::Zorgverlener",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-practitionerrole"
} ],
"sliceName": "practitionerRole",
"max": "*",
"id": "Composition.section:administrativeData.section:sendingOrganization.entry:practitionerRole",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.emptyReason",
"requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
"min": 0,
"definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"short": "Why the section is empty",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEmptyReason"
} ],
"description": "If a section is empty, why it is empty.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"max": "1",
"id": "Composition.section:administrativeData.section:sendingOrganization.emptyReason",
"condition": [ "ele-1", "cmp-2" ],
"comment": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.emptyReason"
}
}, {
"path": "Composition.section.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Nested Section",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
} ],
"contentReference": "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
"max": "0",
"id": "Composition.section:administrativeData.section:sendingOrganization.section",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"path": "Composition.section.section",
"min": 1,
"definition": "Subsection listing data about the receiving organization.",
"short": "Receiving organization",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-152",
"comment": "Ontvangende organisatie",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"sliceName": "receivingOrganization",
"max": "1",
"id": "Composition.section:administrativeData.section:receivingOrganization",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Composition.section:administrativeData.section:receivingOrganization.id",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings may not exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Composition.section:administrativeData.section:receivingOrganization.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Composition.section:administrativeData.section:receivingOrganization.modifierExtension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.title",
"requirements": "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"min": 0,
"definition": "The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.",
"short": "Label for section (e.g. for ToC)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "./title",
"identity": "rim"
}, {
"map": ".title",
"identity": "cda"
} ],
"type": [ {
"code": "string"
} ],
"alias": [ "header", "label", "caption" ],
"max": "1",
"id": "Composition.section:administrativeData.section:receivingOrganization.title",
"condition": [ "ele-1" ],
"comment": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
"defaultValueString": "Receiving organization",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.title"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.code",
"requirements": "Provides computable standardized labels to topics within the document.",
"min": 1,
"definition": "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
"short": "Classification of section (recommended)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": "./code",
"identity": "rim"
}, {
"map": ".code",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CompositionSectionType"
} ],
"description": "Classification of a section of a composition/document.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"max": "1",
"id": "Composition.section:administrativeData.section:receivingOrganization.code",
"condition": [ "ele-1" ],
"comment": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
"patternCodeableConcept": {
"coding": [ {
"code": "275645009",
"system": "http://snomed.info/sct"
} ]
},
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.code"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.text",
"min": 0,
"definition": "A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative.",
"short": "Text summary of the section, for human interpretation",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
}, {
"map": ".text",
"identity": "rim"
}, {
"map": ".text",
"identity": "cda"
} ],
"type": [ {
"code": "Narrative"
} ],
"max": "1",
"id": "Composition.section:administrativeData.section:receivingOrganization.text",
"condition": [ "ele-1", "cmp-1" ],
"comment": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.text"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.mode",
"requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min": 0,
"definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"isModifier": true,
"short": "working | snapshot | changes",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
}, {
"map": "class",
"identity": "w5"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionMode"
} ],
"description": "The processing mode that applies to this section.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"max": "1",
"id": "Composition.section:administrativeData.section:receivingOrganization.mode",
"condition": [ "ele-1" ],
"comment": "This element is labeled as a modifier because a change list must not be mis-understood as a complete list.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.mode"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.orderedBy",
"requirements": "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min": 0,
"definition": "Specifies the order applied to the items in the section entries.",
"short": "Order of section entries",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEntryOrder"
} ],
"description": "What order applies to the items in the entry.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-order"
}
},
"max": "1",
"id": "Composition.section:administrativeData.section:receivingOrganization.orderedBy",
"condition": [ "ele-1" ],
"comment": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.orderedBy"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "A reference to data about the receiving organization",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
} ],
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "resolve()",
"type": "profile"
} ]
},
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
} ],
"max": "*",
"id": "Composition.section:administrativeData.section:receivingOrganization.entry",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 1,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "Organization",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-153",
"comment": "Ontvangende organisatie::Zorgaanbieder",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-organization"
} ],
"sliceName": "organization",
"max": "1",
"id": "Composition.section:administrativeData.section:receivingOrganization.entry:organization",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.emptyReason",
"requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
"min": 0,
"definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"short": "Why the section is empty",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEmptyReason"
} ],
"description": "If a section is empty, why it is empty.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"max": "1",
"id": "Composition.section:administrativeData.section:receivingOrganization.emptyReason",
"condition": [ "ele-1", "cmp-2" ],
"comment": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.emptyReason"
}
}, {
"path": "Composition.section.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Nested Section",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
} ],
"contentReference": "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
"max": "0",
"id": "Composition.section:administrativeData.section:receivingOrganization.section",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "cmp-1",
"human": "A section must at least one of text, entries, or sub-sections",
"xpath": "exists(f:text) or exists(f:entry) or exists(f:section)",
"source": "http://hl7.org/fhir/StructureDefinition/Composition",
"severity": "error",
"expression": "text.exists() or entry.exists() or section.exists()"
}, {
"key": "cmp-2",
"human": "A section can only have an emptyReason if it is empty",
"xpath": "not(exists(f:emptyReason) and exists(f:entry))",
"source": "http://hl7.org/fhir/StructureDefinition/Composition",
"severity": "error",
"expression": "emptyReason.empty() or entry.empty()"
} ],
"path": "Composition.section",
"min": 0,
"definition": "The root of the sections that make up the composition.",
"short": "General Patient Context",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.structuredBody.component.section",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-203",
"comment": "Algemene patiënten context",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"sliceName": "generalPatientContext",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "Section"
} ],
"max": "1",
"id": "Composition.section:generalPatientContext",
"condition": [ "ele-1" ],
"base": {
"max": "*",
"min": 0,
"path": "Composition.section"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Composition.section:generalPatientContext.id",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings may not exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Composition.section:generalPatientContext.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.extension",
"min": 0,
"definition": "Optional Extension Element - found in all resources.",
"short": "Optional Extensions Element",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/eOverdracht-NeedsOfPatientAndRelatedPersons"
} ],
"sliceName": "needsOfPatientAndRelatedPersons",
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Composition.section:generalPatientContext.extension:needsOfPatientAndRelatedPersons",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.extension.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Composition.section:generalPatientContext.extension:needsOfPatientAndRelatedPersons.id",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings may not exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.extension.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Composition.section:generalPatientContext.extension:needsOfPatientAndRelatedPersons.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"short": "identifies the meaning of the extension",
"fixedUri": "http://nictiz.nl/fhir/StructureDefinition/eOverdracht-NeedsOfPatientAndRelatedPersons",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "uri"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Composition.section:generalPatientContext.extension:needsOfPatientAndRelatedPersons.url",
"condition": [ "ele-1" ],
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.extension.valueString",
"min": 0,
"definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
"short": "Value of extension",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
}, {
"map": "e-overdracht-dataelement-v4-643",
"comment": "Wensen en behoeften patiënt en/of naasten",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "string"
} ],
"sliceName": "valueString",
"max": "1",
"id": "Composition.section:generalPatientContext.extension:needsOfPatientAndRelatedPersons.valueString:valueString",
"condition": [ "ele-1" ],
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Composition.section:generalPatientContext.modifierExtension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.title",
"requirements": "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"min": 0,
"definition": "The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.",
"short": "Label for section (e.g. for ToC)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "./title",
"identity": "rim"
}, {
"map": ".title",
"identity": "cda"
} ],
"type": [ {
"code": "string"
} ],
"alias": [ "header", "label", "caption" ],
"max": "1",
"id": "Composition.section:generalPatientContext.title",
"condition": [ "ele-1" ],
"comment": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
"defaultValueString": "General patient context",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.title"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.code",
"requirements": "Provides computable standardized labels to topics within the document.",
"min": 1,
"definition": "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
"short": "Classification of section (recommended)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": "./code",
"identity": "rim"
}, {
"map": ".code",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CompositionSectionType"
} ],
"description": "Classification of a section of a composition/document.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"max": "1",
"id": "Composition.section:generalPatientContext.code",
"condition": [ "ele-1" ],
"comment": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
"patternCodeableConcept": {
"coding": [ {
"code": "109481000146101",
"system": "http://snomed.info/sct"
} ]
},
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.code"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.text",
"min": 0,
"definition": "A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative.",
"short": "Text summary of the section, for human interpretation",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
}, {
"map": ".text",
"identity": "rim"
}, {
"map": ".text",
"identity": "cda"
} ],
"type": [ {
"code": "Narrative"
} ],
"max": "1",
"id": "Composition.section:generalPatientContext.text",
"condition": [ "ele-1", "cmp-1" ],
"comment": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.text"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.mode",
"requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min": 0,
"definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"isModifier": true,
"short": "working | snapshot | changes",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
}, {
"map": "class",
"identity": "w5"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionMode"
} ],
"description": "The processing mode that applies to this section.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"max": "1",
"id": "Composition.section:generalPatientContext.mode",
"condition": [ "ele-1" ],
"comment": "This element is labeled as a modifier because a change list must not be mis-understood as a complete list.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.mode"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.orderedBy",
"requirements": "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min": 0,
"definition": "Specifies the order applied to the items in the section entries.",
"short": "Order of section entries",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEntryOrder"
} ],
"description": "What order applies to the items in the entry.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-order"
}
},
"max": "1",
"id": "Composition.section:generalPatientContext.orderedBy",
"condition": [ "ele-1" ],
"comment": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.orderedBy"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "A reference to data that supports this section",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
} ],
"max": "0",
"id": "Composition.section:generalPatientContext.entry",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.emptyReason",
"requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
"min": 0,
"definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"short": "Why the section is empty",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEmptyReason"
} ],
"description": "If a section is empty, why it is empty.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"max": "1",
"id": "Composition.section:generalPatientContext.emptyReason",
"condition": [ "ele-1", "cmp-2" ],
"comment": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.emptyReason"
}
}, {
"path": "Composition.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Nested Section",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
} ],
"contentReference": "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "code",
"type": "value"
} ]
},
"max": "*",
"id": "Composition.section:generalPatientContext.section",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"path": "Composition.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Family Situation",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-204",
"comment": "Gezinssituatie",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"sliceName": "familySituation",
"max": "1",
"id": "Composition.section:generalPatientContext.section:familySituation",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Composition.section:generalPatientContext.section:familySituation.id",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings may not exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Composition.section:generalPatientContext.section:familySituation.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Composition.section:generalPatientContext.section:familySituation.modifierExtension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.title",
"requirements": "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"min": 0,
"definition": "The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.",
"short": "Label for section (e.g. for ToC)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "./title",
"identity": "rim"
}, {
"map": ".title",
"identity": "cda"
} ],
"type": [ {
"code": "string"
} ],
"alias": [ "header", "label", "caption" ],
"max": "1",
"id": "Composition.section:generalPatientContext.section:familySituation.title",
"condition": [ "ele-1" ],
"comment": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
"defaultValueString": "Family situation",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.title"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.code",
"requirements": "Provides computable standardized labels to topics within the document.",
"min": 1,
"definition": "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
"short": "Classification of section (recommended)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": "./code",
"identity": "rim"
}, {
"map": ".code",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CompositionSectionType"
} ],
"description": "Classification of a section of a composition/document.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"max": "1",
"id": "Composition.section:generalPatientContext.section:familySituation.code",
"condition": [ "ele-1" ],
"comment": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
"patternCodeableConcept": {
"coding": [ {
"code": "365474007",
"system": "http://snomed.info/sct"
} ]
},
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.code"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.text",
"min": 0,
"definition": "A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative.",
"short": "Text summary of the section, for human interpretation",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
}, {
"map": ".text",
"identity": "rim"
}, {
"map": ".text",
"identity": "cda"
} ],
"type": [ {
"code": "Narrative"
} ],
"max": "1",
"id": "Composition.section:generalPatientContext.section:familySituation.text",
"condition": [ "ele-1", "cmp-1" ],
"comment": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.text"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.mode",
"requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min": 0,
"definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"isModifier": true,
"short": "working | snapshot | changes",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
}, {
"map": "class",
"identity": "w5"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionMode"
} ],
"description": "The processing mode that applies to this section.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"max": "1",
"id": "Composition.section:generalPatientContext.section:familySituation.mode",
"condition": [ "ele-1" ],
"comment": "This element is labeled as a modifier because a change list must not be mis-understood as a complete list.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.mode"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.orderedBy",
"requirements": "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min": 0,
"definition": "Specifies the order applied to the items in the section entries.",
"short": "Order of section entries",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEntryOrder"
} ],
"description": "What order applies to the items in the entry.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-order"
}
},
"max": "1",
"id": "Composition.section:generalPatientContext.section:familySituation.orderedBy",
"condition": [ "ele-1" ],
"comment": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.orderedBy"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "A reference to data that supports this section",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-205",
"comment": "Gezinssituatie",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-FamilySituation"
} ],
"max": "*",
"id": "Composition.section:generalPatientContext.section:familySituation.entry",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.emptyReason",
"requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
"min": 0,
"definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"short": "Why the section is empty",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEmptyReason"
} ],
"description": "If a section is empty, why it is empty.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"max": "1",
"id": "Composition.section:generalPatientContext.section:familySituation.emptyReason",
"condition": [ "ele-1", "cmp-2" ],
"comment": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.emptyReason"
}
}, {
"path": "Composition.section.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Nested Section",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
} ],
"contentReference": "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
"max": "0",
"id": "Composition.section:generalPatientContext.section:familySituation.section",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"path": "Composition.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Nested Section",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-1140",
"comment": "Juridische situatie",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"sliceName": "legalSituation",
"max": "1",
"id": "Composition.section:generalPatientContext.section:legalSituation",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Composition.section:generalPatientContext.section:legalSituation.id",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings may not exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Composition.section:generalPatientContext.section:legalSituation.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Composition.section:generalPatientContext.section:legalSituation.modifierExtension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.title",
"requirements": "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"min": 0,
"definition": "The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.",
"short": "Label for section (e.g. for ToC)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "./title",
"identity": "rim"
}, {
"map": ".title",
"identity": "cda"
} ],
"type": [ {
"code": "string"
} ],
"alias": [ "header", "label", "caption" ],
"max": "1",
"id": "Composition.section:generalPatientContext.section:legalSituation.title",
"condition": [ "ele-1" ],
"comment": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
"defaultValueString": "Legal situation",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.title"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.code",
"requirements": "Provides computable standardized labels to topics within the document.",
"min": 1,
"definition": "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
"short": "Classification of section (recommended)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": "./code",
"identity": "rim"
}, {
"map": ".code",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CompositionSectionType"
} ],
"description": "Classification of a section of a composition/document.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"max": "1",
"id": "Composition.section:generalPatientContext.section:legalSituation.code",
"condition": [ "ele-1" ],
"comment": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
"patternCodeableConcept": {
"coding": [ {
"code": "365867006",
"system": "http://snomed.info/sct"
} ]
},
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.code"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.text",
"min": 0,
"definition": "A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative.",
"short": "Text summary of the section, for human interpretation",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
}, {
"map": ".text",
"identity": "rim"
}, {
"map": ".text",
"identity": "cda"
} ],
"type": [ {
"code": "Narrative"
} ],
"max": "1",
"id": "Composition.section:generalPatientContext.section:legalSituation.text",
"condition": [ "ele-1", "cmp-1" ],
"comment": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.text"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.mode",
"requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min": 0,
"definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"isModifier": true,
"short": "working | snapshot | changes",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
}, {
"map": "class",
"identity": "w5"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionMode"
} ],
"description": "The processing mode that applies to this section.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"max": "1",
"id": "Composition.section:generalPatientContext.section:legalSituation.mode",
"condition": [ "ele-1" ],
"comment": "This element is labeled as a modifier because a change list must not be mis-understood as a complete list.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.mode"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.orderedBy",
"requirements": "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min": 0,
"definition": "Specifies the order applied to the items in the section entries.",
"short": "Order of section entries",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEntryOrder"
} ],
"description": "What order applies to the items in the entry.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-order"
}
},
"max": "1",
"id": "Composition.section:generalPatientContext.section:legalSituation.orderedBy",
"condition": [ "ele-1" ],
"comment": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.orderedBy"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 1,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "A reference to data that supports this section",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-1141",
"comment": "JuridischeSituatie",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-LegalSituation-LegalStatus"
}, {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-LegalSituation-Representation"
} ],
"max": "*",
"id": "Composition.section:generalPatientContext.section:legalSituation.entry",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.emptyReason",
"requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
"min": 0,
"definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"short": "Why the section is empty",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEmptyReason"
} ],
"description": "If a section is empty, why it is empty.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"max": "1",
"id": "Composition.section:generalPatientContext.section:legalSituation.emptyReason",
"condition": [ "ele-1", "cmp-2" ],
"comment": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.emptyReason"
}
}, {
"path": "Composition.section.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Nested Section",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
} ],
"contentReference": "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
"max": "*",
"id": "Composition.section:generalPatientContext.section:legalSituation.section",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"path": "Composition.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Living Situation",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-267",
"comment": "Woonomgeving",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"sliceName": "livingSituation",
"max": "1",
"id": "Composition.section:generalPatientContext.section:livingSituation",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Composition.section:generalPatientContext.section:livingSituation.id",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings may not exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Composition.section:generalPatientContext.section:livingSituation.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Composition.section:generalPatientContext.section:livingSituation.modifierExtension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.title",
"requirements": "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"min": 0,
"definition": "The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.",
"short": "Label for section (e.g. for ToC)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "./title",
"identity": "rim"
}, {
"map": ".title",
"identity": "cda"
} ],
"type": [ {
"code": "string"
} ],
"alias": [ "header", "label", "caption" ],
"max": "1",
"id": "Composition.section:generalPatientContext.section:livingSituation.title",
"condition": [ "ele-1" ],
"comment": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
"defaultValueString": "Living situation",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.title"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.code",
"requirements": "Provides computable standardized labels to topics within the document.",
"min": 1,
"definition": "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
"short": "Classification of section (recommended)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": "./code",
"identity": "rim"
}, {
"map": ".code",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CompositionSectionType"
} ],
"description": "Classification of a section of a composition/document.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"max": "1",
"id": "Composition.section:generalPatientContext.section:livingSituation.code",
"condition": [ "ele-1" ],
"comment": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
"patternCodeableConcept": {
"coding": [ {
"code": "365512000",
"system": "http://snomed.info/sct"
} ]
},
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.code"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.text",
"min": 0,
"definition": "A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative.",
"short": "Text summary of the section, for human interpretation",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
}, {
"map": ".text",
"identity": "rim"
}, {
"map": ".text",
"identity": "cda"
} ],
"type": [ {
"code": "Narrative"
} ],
"max": "1",
"id": "Composition.section:generalPatientContext.section:livingSituation.text",
"condition": [ "ele-1", "cmp-1" ],
"comment": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.text"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.mode",
"requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min": 0,
"definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"isModifier": true,
"short": "working | snapshot | changes",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
}, {
"map": "class",
"identity": "w5"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionMode"
} ],
"description": "The processing mode that applies to this section.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"max": "1",
"id": "Composition.section:generalPatientContext.section:livingSituation.mode",
"condition": [ "ele-1" ],
"comment": "This element is labeled as a modifier because a change list must not be mis-understood as a complete list.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.mode"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.orderedBy",
"requirements": "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min": 0,
"definition": "Specifies the order applied to the items in the section entries.",
"short": "Order of section entries",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEntryOrder"
} ],
"description": "What order applies to the items in the entry.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-order"
}
},
"max": "1",
"id": "Composition.section:generalPatientContext.section:livingSituation.orderedBy",
"condition": [ "ele-1" ],
"comment": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.orderedBy"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "A reference to data that supports this section",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-268",
"comment": "Woonomgeving::Woonsituatie",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-LivingSituation"
} ],
"max": "1",
"id": "Composition.section:generalPatientContext.section:livingSituation.entry",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.emptyReason",
"requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
"min": 0,
"definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"short": "Why the section is empty",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEmptyReason"
} ],
"description": "If a section is empty, why it is empty.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"max": "1",
"id": "Composition.section:generalPatientContext.section:livingSituation.emptyReason",
"condition": [ "ele-1", "cmp-2" ],
"comment": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.emptyReason"
}
}, {
"path": "Composition.section.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Nested Section",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
} ],
"contentReference": "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
"max": "0",
"id": "Composition.section:generalPatientContext.section:livingSituation.section",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"path": "Composition.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Advance Directive",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-271",
"comment": "Levensovertuiging",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"sliceName": "advanceDirective",
"max": "1",
"id": "Composition.section:generalPatientContext.section:advanceDirective",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Composition.section:generalPatientContext.section:advanceDirective.id",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings may not exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Composition.section:generalPatientContext.section:advanceDirective.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Composition.section:generalPatientContext.section:advanceDirective.modifierExtension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.title",
"requirements": "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"min": 0,
"definition": "The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.",
"short": "Label for section (e.g. for ToC)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "./title",
"identity": "rim"
}, {
"map": ".title",
"identity": "cda"
} ],
"type": [ {
"code": "string"
} ],
"alias": [ "header", "label", "caption" ],
"max": "1",
"id": "Composition.section:generalPatientContext.section:advanceDirective.title",
"condition": [ "ele-1" ],
"comment": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
"defaultValueString": "Advance directive",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.title"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.code",
"requirements": "Provides computable standardized labels to topics within the document.",
"min": 1,
"definition": "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
"short": "Classification of section (recommended)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": "./code",
"identity": "rim"
}, {
"map": ".code",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CompositionSectionType"
} ],
"description": "Classification of a section of a composition/document.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"max": "1",
"id": "Composition.section:generalPatientContext.section:advanceDirective.code",
"condition": [ "ele-1" ],
"comment": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
"patternCodeableConcept": {
"coding": [ {
"code": "108329005",
"system": "http://snomed.info/sct"
} ]
},
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.code"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.text",
"min": 0,
"definition": "A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative.",
"short": "Text summary of the section, for human interpretation",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
}, {
"map": ".text",
"identity": "rim"
}, {
"map": ".text",
"identity": "cda"
} ],
"type": [ {
"code": "Narrative"
} ],
"max": "1",
"id": "Composition.section:generalPatientContext.section:advanceDirective.text",
"condition": [ "ele-1", "cmp-1" ],
"comment": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.text"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.mode",
"requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min": 0,
"definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"isModifier": true,
"short": "working | snapshot | changes",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
}, {
"map": "class",
"identity": "w5"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionMode"
} ],
"description": "The processing mode that applies to this section.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"max": "1",
"id": "Composition.section:generalPatientContext.section:advanceDirective.mode",
"condition": [ "ele-1" ],
"comment": "This element is labeled as a modifier because a change list must not be mis-understood as a complete list.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.mode"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.orderedBy",
"requirements": "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min": 0,
"definition": "Specifies the order applied to the items in the section entries.",
"short": "Order of section entries",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEntryOrder"
} ],
"description": "What order applies to the items in the entry.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-order"
}
},
"max": "1",
"id": "Composition.section:generalPatientContext.section:advanceDirective.orderedBy",
"condition": [ "ele-1" ],
"comment": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.orderedBy"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "A reference to data that supports this section",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
} ],
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "resolve()",
"type": "profile"
} ]
},
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
} ],
"max": "*",
"id": "Composition.section:generalPatientContext.section:advanceDirective.entry",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "Advance directive",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-274",
"comment": "Levensovertuiging::Wilsverklaring",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-AdvanceDirective"
} ],
"sliceName": "advanceDirective",
"max": "*",
"id": "Composition.section:generalPatientContext.section:advanceDirective.entry:advanceDirective",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.emptyReason",
"requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
"min": 0,
"definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"short": "Why the section is empty",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEmptyReason"
} ],
"description": "If a section is empty, why it is empty.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"max": "1",
"id": "Composition.section:generalPatientContext.section:advanceDirective.emptyReason",
"condition": [ "ele-1", "cmp-2" ],
"comment": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.emptyReason"
}
}, {
"path": "Composition.section.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Nested Section",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
} ],
"contentReference": "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
"max": "0",
"id": "Composition.section:generalPatientContext.section:advanceDirective.section",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"path": "Composition.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Social Environment",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-283",
"comment": "Sociale omgeving",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"sliceName": "socialEnvironment",
"max": "1",
"id": "Composition.section:generalPatientContext.section:socialEnvironment",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Composition.section:generalPatientContext.section:socialEnvironment.id",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings may not exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Composition.section:generalPatientContext.section:socialEnvironment.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Composition.section:generalPatientContext.section:socialEnvironment.modifierExtension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.title",
"requirements": "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"min": 0,
"definition": "The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.",
"short": "Label for section (e.g. for ToC)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "./title",
"identity": "rim"
}, {
"map": ".title",
"identity": "cda"
} ],
"type": [ {
"code": "string"
} ],
"alias": [ "header", "label", "caption" ],
"max": "1",
"id": "Composition.section:generalPatientContext.section:socialEnvironment.title",
"condition": [ "ele-1" ],
"comment": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
"defaultValueString": "Social Environment",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.title"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.code",
"requirements": "Provides computable standardized labels to topics within the document.",
"min": 1,
"definition": "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
"short": "Classification of section (recommended)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": "./code",
"identity": "rim"
}, {
"map": ".code",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CompositionSectionType"
} ],
"description": "Classification of a section of a composition/document.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"max": "1",
"id": "Composition.section:generalPatientContext.section:socialEnvironment.code",
"condition": [ "ele-1" ],
"comment": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
"patternCodeableConcept": {
"coding": [ {
"code": "365448001",
"system": "http://snomed.info/sct"
} ]
},
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.code"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.text",
"min": 0,
"definition": "A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative.",
"short": "Text summary of the section, for human interpretation",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
}, {
"map": ".text",
"identity": "rim"
}, {
"map": ".text",
"identity": "cda"
} ],
"type": [ {
"code": "Narrative"
} ],
"max": "1",
"id": "Composition.section:generalPatientContext.section:socialEnvironment.text",
"condition": [ "ele-1", "cmp-1" ],
"comment": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.text"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.mode",
"requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min": 0,
"definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"isModifier": true,
"short": "working | snapshot | changes",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
}, {
"map": "class",
"identity": "w5"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionMode"
} ],
"description": "The processing mode that applies to this section.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"max": "1",
"id": "Composition.section:generalPatientContext.section:socialEnvironment.mode",
"condition": [ "ele-1" ],
"comment": "This element is labeled as a modifier because a change list must not be mis-understood as a complete list.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.mode"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.orderedBy",
"requirements": "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min": 0,
"definition": "Specifies the order applied to the items in the section entries.",
"short": "Order of section entries",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEntryOrder"
} ],
"description": "What order applies to the items in the entry.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-order"
}
},
"max": "1",
"id": "Composition.section:generalPatientContext.section:socialEnvironment.orderedBy",
"condition": [ "ele-1" ],
"comment": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.orderedBy"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "A reference to data that supports this section",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
} ],
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "resolve()",
"type": "profile"
} ]
},
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
} ],
"max": "*",
"id": "Composition.section:generalPatientContext.section:socialEnvironment.entry",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "Participation In Society",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-284",
"comment": "Participatie in maatschappij",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-ParticipationInSociety"
} ],
"sliceName": "participationInSociety",
"max": "*",
"id": "Composition.section:generalPatientContext.section:socialEnvironment.entry:participationInSociety",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "Help From Others",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-289",
"comment": "Hulp van anderen",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-HelpFromOthers"
} ],
"sliceName": "helpFromOthers",
"max": "*",
"id": "Composition.section:generalPatientContext.section:socialEnvironment.entry:helpFromOthers",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.emptyReason",
"requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
"min": 0,
"definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"short": "Why the section is empty",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEmptyReason"
} ],
"description": "If a section is empty, why it is empty.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"max": "1",
"id": "Composition.section:generalPatientContext.section:socialEnvironment.emptyReason",
"condition": [ "ele-1", "cmp-2" ],
"comment": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.emptyReason"
}
}, {
"path": "Composition.section.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Nested Section",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
} ],
"contentReference": "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
"max": "0",
"id": "Composition.section:generalPatientContext.section:socialEnvironment.section",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "cmp-1",
"human": "A section must at least one of text, entries, or sub-sections",
"xpath": "exists(f:text) or exists(f:entry) or exists(f:section)",
"source": "http://hl7.org/fhir/StructureDefinition/Composition",
"severity": "error",
"expression": "text.exists() or entry.exists() or section.exists()"
}, {
"key": "cmp-2",
"human": "A section can only have an emptyReason if it is empty",
"xpath": "not(exists(f:emptyReason) and exists(f:entry))",
"source": "http://hl7.org/fhir/StructureDefinition/Composition",
"severity": "error",
"expression": "emptyReason.empty() or entry.empty()"
} ],
"path": "Composition.section",
"min": 1,
"definition": "The root of the sections that make up the composition.",
"short": "Medical Context",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.structuredBody.component.section",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-326",
"comment": "Medische context",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"sliceName": "medicalContext",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "Section"
} ],
"max": "1",
"id": "Composition.section:medicalContext",
"condition": [ "ele-1" ],
"base": {
"max": "*",
"min": 0,
"path": "Composition.section"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Composition.section:medicalContext.id",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings may not exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Composition.section:medicalContext.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Composition.section:medicalContext.modifierExtension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.title",
"requirements": "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"min": 0,
"definition": "The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.",
"short": "Label for section (e.g. for ToC)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "./title",
"identity": "rim"
}, {
"map": ".title",
"identity": "cda"
} ],
"type": [ {
"code": "string"
} ],
"alias": [ "header", "label", "caption" ],
"max": "1",
"id": "Composition.section:medicalContext.title",
"condition": [ "ele-1" ],
"comment": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
"defaultValueString": "Medical context",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.title"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.code",
"requirements": "Provides computable standardized labels to topics within the document.",
"min": 1,
"definition": "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
"short": "Classification of section (recommended)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": "./code",
"identity": "rim"
}, {
"map": ".code",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CompositionSectionType"
} ],
"description": "Classification of a section of a composition/document.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"max": "1",
"id": "Composition.section:medicalContext.code",
"condition": [ "ele-1" ],
"comment": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
"patternCodeableConcept": {
"coding": [ {
"code": "371524004",
"system": "http://snomed.info/sct"
} ]
},
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.code"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.text",
"min": 0,
"definition": "A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative.",
"short": "Text summary of the section, for human interpretation",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
}, {
"map": ".text",
"identity": "rim"
}, {
"map": ".text",
"identity": "cda"
} ],
"type": [ {
"code": "Narrative"
} ],
"max": "1",
"id": "Composition.section:medicalContext.text",
"condition": [ "ele-1", "cmp-1" ],
"comment": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.text"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.mode",
"requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min": 0,
"definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"isModifier": true,
"short": "working | snapshot | changes",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
}, {
"map": "class",
"identity": "w5"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionMode"
} ],
"description": "The processing mode that applies to this section.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"max": "1",
"id": "Composition.section:medicalContext.mode",
"condition": [ "ele-1" ],
"comment": "This element is labeled as a modifier because a change list must not be mis-understood as a complete list.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.mode"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.orderedBy",
"requirements": "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min": 0,
"definition": "Specifies the order applied to the items in the section entries.",
"short": "Order of section entries",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEntryOrder"
} ],
"description": "What order applies to the items in the entry.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-order"
}
},
"max": "1",
"id": "Composition.section:medicalContext.orderedBy",
"condition": [ "ele-1" ],
"comment": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.orderedBy"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "A reference to data that supports this section",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
} ],
"max": "0",
"id": "Composition.section:medicalContext.entry",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.emptyReason",
"requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
"min": 0,
"definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"short": "Why the section is empty",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEmptyReason"
} ],
"description": "If a section is empty, why it is empty.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"max": "1",
"id": "Composition.section:medicalContext.emptyReason",
"condition": [ "ele-1", "cmp-2" ],
"comment": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.emptyReason"
}
}, {
"path": "Composition.section.section",
"min": 1,
"definition": "A nested sub-section within this section.",
"short": "Nested Section",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
} ],
"contentReference": "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "code",
"type": "value"
} ]
},
"max": "*",
"id": "Composition.section:medicalContext.section",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"path": "Composition.section.section",
"min": 1,
"definition": "A nested sub-section within this section.",
"short": "Practitioner",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-327",
"comment": "Behandelaar",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"sliceName": "practitioner",
"max": "1",
"id": "Composition.section:medicalContext.section:practitioner",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Composition.section:medicalContext.section:practitioner.id",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings may not exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Composition.section:medicalContext.section:practitioner.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Composition.section:medicalContext.section:practitioner.modifierExtension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.title",
"requirements": "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"min": 0,
"definition": "The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.",
"short": "Label for section (e.g. for ToC)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "./title",
"identity": "rim"
}, {
"map": ".title",
"identity": "cda"
} ],
"type": [ {
"code": "string"
} ],
"alias": [ "header", "label", "caption" ],
"max": "1",
"id": "Composition.section:medicalContext.section:practitioner.title",
"condition": [ "ele-1" ],
"comment": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
"defaultValueString": "Practitioner",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.title"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.code",
"requirements": "Provides computable standardized labels to topics within the document.",
"min": 1,
"definition": "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
"short": "Classification of section (recommended)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": "./code",
"identity": "rim"
}, {
"map": ".code",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CompositionSectionType"
} ],
"description": "Classification of a section of a composition/document.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"max": "1",
"id": "Composition.section:medicalContext.section:practitioner.code",
"condition": [ "ele-1" ],
"comment": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
"patternCodeableConcept": {
"coding": [ {
"code": "405623001",
"system": "http://snomed.info/sct"
} ]
},
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.code"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.text",
"min": 0,
"definition": "A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative.",
"short": "Text summary of the section, for human interpretation",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
}, {
"map": ".text",
"identity": "rim"
}, {
"map": ".text",
"identity": "cda"
} ],
"type": [ {
"code": "Narrative"
} ],
"max": "1",
"id": "Composition.section:medicalContext.section:practitioner.text",
"condition": [ "ele-1", "cmp-1" ],
"comment": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.text"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.mode",
"requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min": 0,
"definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"isModifier": true,
"short": "working | snapshot | changes",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
}, {
"map": "class",
"identity": "w5"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionMode"
} ],
"description": "The processing mode that applies to this section.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"max": "1",
"id": "Composition.section:medicalContext.section:practitioner.mode",
"condition": [ "ele-1" ],
"comment": "This element is labeled as a modifier because a change list must not be mis-understood as a complete list.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.mode"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.orderedBy",
"requirements": "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min": 0,
"definition": "Specifies the order applied to the items in the section entries.",
"short": "Order of section entries",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEntryOrder"
} ],
"description": "What order applies to the items in the entry.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-order"
}
},
"max": "1",
"id": "Composition.section:medicalContext.section:practitioner.orderedBy",
"condition": [ "ele-1" ],
"comment": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.orderedBy"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 2,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "A reference to data that supports this section",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
} ],
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "resolve()",
"type": "profile"
} ]
},
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
} ],
"max": "*",
"id": "Composition.section:medicalContext.section:practitioner.entry",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 1,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "Practitioner",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-328",
"comment": "Behandelaar",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner"
} ],
"sliceName": "practitioner",
"max": "*",
"id": "Composition.section:medicalContext.section:practitioner.entry:practitioner",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 1,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "Practitioner Role",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-328",
"comment": "Behandelaar",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-practitionerrole"
} ],
"sliceName": "practitionerRole",
"max": "*",
"id": "Composition.section:medicalContext.section:practitioner.entry:practitionerRole",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.emptyReason",
"requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
"min": 0,
"definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"short": "Why the section is empty",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEmptyReason"
} ],
"description": "If a section is empty, why it is empty.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"max": "1",
"id": "Composition.section:medicalContext.section:practitioner.emptyReason",
"condition": [ "ele-1", "cmp-2" ],
"comment": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.emptyReason"
}
}, {
"path": "Composition.section.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Nested Section",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
} ],
"contentReference": "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
"max": "0",
"id": "Composition.section:medicalContext.section:practitioner.section",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"path": "Composition.section.section",
"min": 1,
"definition": "A nested sub-section within this section.",
"short": "Medical Diagnosis",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-350",
"comment": "Medische Diagnose",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"sliceName": "medicalDiagnosis",
"max": "1",
"id": "Composition.section:medicalContext.section:medicalDiagnosis",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Composition.section:medicalContext.section:medicalDiagnosis.id",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings may not exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Composition.section:medicalContext.section:medicalDiagnosis.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Composition.section:medicalContext.section:medicalDiagnosis.modifierExtension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.title",
"requirements": "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"min": 0,
"definition": "The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.",
"short": "Label for section (e.g. for ToC)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "./title",
"identity": "rim"
}, {
"map": ".title",
"identity": "cda"
} ],
"type": [ {
"code": "string"
} ],
"alias": [ "header", "label", "caption" ],
"max": "1",
"id": "Composition.section:medicalContext.section:medicalDiagnosis.title",
"condition": [ "ele-1" ],
"comment": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
"defaultValueString": "Medical diagnosis",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.title"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.code",
"requirements": "Provides computable standardized labels to topics within the document.",
"min": 1,
"definition": "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
"short": "Classification of section (recommended)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": "./code",
"identity": "rim"
}, {
"map": ".code",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CompositionSectionType"
} ],
"description": "Classification of a section of a composition/document.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"max": "1",
"id": "Composition.section:medicalContext.section:medicalDiagnosis.code",
"condition": [ "ele-1" ],
"comment": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
"patternCodeableConcept": {
"coding": [ {
"code": "52870002",
"system": "http://snomed.info/sct"
} ]
},
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.code"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.text",
"min": 0,
"definition": "A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative.",
"short": "Text summary of the section, for human interpretation",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
}, {
"map": ".text",
"identity": "rim"
}, {
"map": ".text",
"identity": "cda"
} ],
"type": [ {
"code": "Narrative"
} ],
"max": "1",
"id": "Composition.section:medicalContext.section:medicalDiagnosis.text",
"condition": [ "ele-1", "cmp-1" ],
"comment": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.text"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.mode",
"requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min": 0,
"definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"isModifier": true,
"short": "working | snapshot | changes",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
}, {
"map": "class",
"identity": "w5"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionMode"
} ],
"description": "The processing mode that applies to this section.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"max": "1",
"id": "Composition.section:medicalContext.section:medicalDiagnosis.mode",
"condition": [ "ele-1" ],
"comment": "This element is labeled as a modifier because a change list must not be mis-understood as a complete list.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.mode"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.orderedBy",
"requirements": "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min": 0,
"definition": "Specifies the order applied to the items in the section entries.",
"short": "Order of section entries",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEntryOrder"
} ],
"description": "What order applies to the items in the entry.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-order"
}
},
"max": "1",
"id": "Composition.section:medicalContext.section:medicalDiagnosis.orderedBy",
"condition": [ "ele-1" ],
"comment": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.orderedBy"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 1,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "A reference to data that supports this section",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-351",
"comment": "Medische Diagnose::Probleem",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Problem"
} ],
"max": "*",
"id": "Composition.section:medicalContext.section:medicalDiagnosis.entry",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.emptyReason",
"requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
"min": 0,
"definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"short": "Why the section is empty",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEmptyReason"
} ],
"description": "If a section is empty, why it is empty.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"max": "1",
"id": "Composition.section:medicalContext.section:medicalDiagnosis.emptyReason",
"condition": [ "ele-1", "cmp-2" ],
"comment": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.emptyReason"
}
}, {
"path": "Composition.section.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Nested Section",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
} ],
"contentReference": "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
"max": "0",
"id": "Composition.section:medicalContext.section:medicalDiagnosis.section",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"path": "Composition.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Medical History",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-361",
"comment": "Voorgeschiedenis",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"sliceName": "medicalHistory",
"max": "1",
"id": "Composition.section:medicalContext.section:medicalHistory",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Composition.section:medicalContext.section:medicalHistory.id",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings may not exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Composition.section:medicalContext.section:medicalHistory.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Composition.section:medicalContext.section:medicalHistory.modifierExtension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.title",
"requirements": "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"min": 0,
"definition": "The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.",
"short": "Label for section (e.g. for ToC)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "./title",
"identity": "rim"
}, {
"map": ".title",
"identity": "cda"
} ],
"type": [ {
"code": "string"
} ],
"alias": [ "header", "label", "caption" ],
"max": "1",
"id": "Composition.section:medicalContext.section:medicalHistory.title",
"condition": [ "ele-1" ],
"comment": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
"defaultValueString": "Medical history",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.title"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.code",
"requirements": "Provides computable standardized labels to topics within the document.",
"min": 1,
"definition": "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
"short": "Classification of section (recommended)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": "./code",
"identity": "rim"
}, {
"map": ".code",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CompositionSectionType"
} ],
"description": "Classification of a section of a composition/document.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"max": "1",
"id": "Composition.section:medicalContext.section:medicalHistory.code",
"condition": [ "ele-1" ],
"comment": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
"patternCodeableConcept": {
"coding": [ {
"code": "417662000",
"system": "http://snomed.info/sct"
} ]
},
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.code"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.text",
"min": 0,
"definition": "A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative.",
"short": "Text summary of the section, for human interpretation",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
}, {
"map": ".text",
"identity": "rim"
}, {
"map": ".text",
"identity": "cda"
} ],
"type": [ {
"code": "Narrative"
} ],
"max": "1",
"id": "Composition.section:medicalContext.section:medicalHistory.text",
"condition": [ "ele-1", "cmp-1" ],
"comment": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.text"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.mode",
"requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min": 0,
"definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"isModifier": true,
"short": "working | snapshot | changes",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
}, {
"map": "class",
"identity": "w5"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionMode"
} ],
"description": "The processing mode that applies to this section.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"max": "1",
"id": "Composition.section:medicalContext.section:medicalHistory.mode",
"condition": [ "ele-1" ],
"comment": "This element is labeled as a modifier because a change list must not be mis-understood as a complete list.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.mode"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.orderedBy",
"requirements": "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min": 0,
"definition": "Specifies the order applied to the items in the section entries.",
"short": "Order of section entries",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEntryOrder"
} ],
"description": "What order applies to the items in the entry.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-order"
}
},
"max": "1",
"id": "Composition.section:medicalContext.section:medicalHistory.orderedBy",
"condition": [ "ele-1" ],
"comment": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.orderedBy"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 1,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "A reference to data that supports this section",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-362",
"comment": "Probleem",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Problem"
} ],
"max": "*",
"id": "Composition.section:medicalContext.section:medicalHistory.entry",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.emptyReason",
"requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
"min": 0,
"definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"short": "Why the section is empty",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEmptyReason"
} ],
"description": "If a section is empty, why it is empty.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"max": "1",
"id": "Composition.section:medicalContext.section:medicalHistory.emptyReason",
"condition": [ "ele-1", "cmp-2" ],
"comment": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.emptyReason"
}
}, {
"path": "Composition.section.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Nested Section",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
} ],
"contentReference": "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
"max": "0",
"id": "Composition.section:medicalContext.section:medicalHistory.section",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"path": "Composition.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Allergy",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-372",
"comment": "Allergie",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"sliceName": "allergy",
"max": "1",
"id": "Composition.section:medicalContext.section:allergy",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Composition.section:medicalContext.section:allergy.id",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings may not exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Composition.section:medicalContext.section:allergy.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Composition.section:medicalContext.section:allergy.modifierExtension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.title",
"requirements": "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"min": 0,
"definition": "The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.",
"short": "Label for section (e.g. for ToC)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "./title",
"identity": "rim"
}, {
"map": ".title",
"identity": "cda"
} ],
"type": [ {
"code": "string"
} ],
"alias": [ "header", "label", "caption" ],
"max": "1",
"id": "Composition.section:medicalContext.section:allergy.title",
"condition": [ "ele-1" ],
"comment": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
"defaultValueString": "Allergy",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.title"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.code",
"requirements": "Provides computable standardized labels to topics within the document.",
"min": 1,
"definition": "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
"short": "Classification of section (recommended)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": "./code",
"identity": "rim"
}, {
"map": ".code",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CompositionSectionType"
} ],
"description": "Classification of a section of a composition/document.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"max": "1",
"id": "Composition.section:medicalContext.section:allergy.code",
"condition": [ "ele-1" ],
"comment": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
"patternCodeableConcept": {
"coding": [ {
"code": "420134006",
"system": "http://snomed.info/sct"
} ]
},
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.code"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.text",
"min": 0,
"definition": "A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative.",
"short": "Text summary of the section, for human interpretation",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
}, {
"map": ".text",
"identity": "rim"
}, {
"map": ".text",
"identity": "cda"
} ],
"type": [ {
"code": "Narrative"
} ],
"max": "1",
"id": "Composition.section:medicalContext.section:allergy.text",
"condition": [ "ele-1", "cmp-1" ],
"comment": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.text"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.mode",
"requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min": 0,
"definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"isModifier": true,
"short": "working | snapshot | changes",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
}, {
"map": "class",
"identity": "w5"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionMode"
} ],
"description": "The processing mode that applies to this section.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"max": "1",
"id": "Composition.section:medicalContext.section:allergy.mode",
"condition": [ "ele-1" ],
"comment": "This element is labeled as a modifier because a change list must not be mis-understood as a complete list.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.mode"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.orderedBy",
"requirements": "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min": 0,
"definition": "Specifies the order applied to the items in the section entries.",
"short": "Order of section entries",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEntryOrder"
} ],
"description": "What order applies to the items in the entry.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-order"
}
},
"max": "1",
"id": "Composition.section:medicalContext.section:allergy.orderedBy",
"condition": [ "ele-1" ],
"comment": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.orderedBy"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 1,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "A reference to data that supports this section",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-373",
"comment": "AllergieIntolerantie",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-AllergyIntolerance"
} ],
"max": "*",
"id": "Composition.section:medicalContext.section:allergy.entry",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.emptyReason",
"requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
"min": 0,
"definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"short": "Why the section is empty",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEmptyReason"
} ],
"description": "If a section is empty, why it is empty.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"max": "1",
"id": "Composition.section:medicalContext.section:allergy.emptyReason",
"condition": [ "ele-1", "cmp-2" ],
"comment": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.emptyReason"
}
}, {
"path": "Composition.section.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Nested Section",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
} ],
"contentReference": "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
"max": "0",
"id": "Composition.section:medicalContext.section:allergy.section",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"path": "Composition.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Pay Attention",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-388",
"comment": "Let op",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"sliceName": "payAttention",
"max": "1",
"id": "Composition.section:medicalContext.section:payAttention",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Composition.section:medicalContext.section:payAttention.id",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings may not exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Composition.section:medicalContext.section:payAttention.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Composition.section:medicalContext.section:payAttention.modifierExtension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.title",
"requirements": "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"min": 0,
"definition": "The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.",
"short": "Label for section (e.g. for ToC)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "./title",
"identity": "rim"
}, {
"map": ".title",
"identity": "cda"
} ],
"type": [ {
"code": "string"
} ],
"alias": [ "header", "label", "caption" ],
"max": "1",
"id": "Composition.section:medicalContext.section:payAttention.title",
"condition": [ "ele-1" ],
"comment": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
"defaultValueString": "Pay attention",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.title"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.code",
"requirements": "Provides computable standardized labels to topics within the document.",
"min": 1,
"definition": "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
"short": "Classification of section (recommended)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": "./code",
"identity": "rim"
}, {
"map": ".code",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CompositionSectionType"
} ],
"description": "Classification of a section of a composition/document.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"max": "1",
"id": "Composition.section:medicalContext.section:payAttention.code",
"condition": [ "ele-1" ],
"comment": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
"patternCodeableConcept": {
"coding": [ {
"code": "308813009",
"system": "http://snomed.info/sct"
} ]
},
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.code"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.text",
"min": 0,
"definition": "A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative.",
"short": "Text summary of the section, for human interpretation",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
}, {
"map": ".text",
"identity": "rim"
}, {
"map": ".text",
"identity": "cda"
} ],
"type": [ {
"code": "Narrative"
} ],
"max": "1",
"id": "Composition.section:medicalContext.section:payAttention.text",
"condition": [ "ele-1", "cmp-1" ],
"comment": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.text"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.mode",
"requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min": 0,
"definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"isModifier": true,
"short": "working | snapshot | changes",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
}, {
"map": "class",
"identity": "w5"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionMode"
} ],
"description": "The processing mode that applies to this section.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"max": "1",
"id": "Composition.section:medicalContext.section:payAttention.mode",
"condition": [ "ele-1" ],
"comment": "This element is labeled as a modifier because a change list must not be mis-understood as a complete list.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.mode"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.orderedBy",
"requirements": "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min": 0,
"definition": "Specifies the order applied to the items in the section entries.",
"short": "Order of section entries",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEntryOrder"
} ],
"description": "What order applies to the items in the entry.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-order"
}
},
"max": "1",
"id": "Composition.section:medicalContext.section:payAttention.orderedBy",
"condition": [ "ele-1" ],
"comment": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.orderedBy"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 1,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "A reference to data that supports this section",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-389",
"comment": "Alert",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Alert"
} ],
"max": "*",
"id": "Composition.section:medicalContext.section:payAttention.entry",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.emptyReason",
"requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
"min": 0,
"definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"short": "Why the section is empty",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEmptyReason"
} ],
"description": "If a section is empty, why it is empty.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"max": "1",
"id": "Composition.section:medicalContext.section:payAttention.emptyReason",
"condition": [ "ele-1", "cmp-2" ],
"comment": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.emptyReason"
}
}, {
"path": "Composition.section.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Nested Section",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
} ],
"contentReference": "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
"max": "0",
"id": "Composition.section:medicalContext.section:payAttention.section",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"path": "Composition.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Freedom Restriction",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-395",
"comment": "Vrijheidsbeperking",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"sliceName": "freedomRestriction",
"max": "1",
"id": "Composition.section:medicalContext.section:freedomRestriction",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Composition.section:medicalContext.section:freedomRestriction.id",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings may not exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Composition.section:medicalContext.section:freedomRestriction.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Composition.section:medicalContext.section:freedomRestriction.modifierExtension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.title",
"requirements": "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"min": 0,
"definition": "The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.",
"short": "Label for section (e.g. for ToC)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "./title",
"identity": "rim"
}, {
"map": ".title",
"identity": "cda"
} ],
"type": [ {
"code": "string"
} ],
"alias": [ "header", "label", "caption" ],
"max": "1",
"id": "Composition.section:medicalContext.section:freedomRestriction.title",
"condition": [ "ele-1" ],
"comment": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
"defaultValueString": "Freedom restriction",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.title"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.code",
"requirements": "Provides computable standardized labels to topics within the document.",
"min": 1,
"definition": "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
"short": "Classification of section (recommended)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": "./code",
"identity": "rim"
}, {
"map": ".code",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CompositionSectionType"
} ],
"description": "Classification of a section of a composition/document.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"max": "1",
"id": "Composition.section:medicalContext.section:freedomRestriction.code",
"condition": [ "ele-1" ],
"comment": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
"patternCodeableConcept": {
"coding": [ {
"code": "225317005",
"system": "http://snomed.info/sct"
} ]
},
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.code"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.text",
"min": 0,
"definition": "A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative.",
"short": "Text summary of the section, for human interpretation",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
}, {
"map": ".text",
"identity": "rim"
}, {
"map": ".text",
"identity": "cda"
} ],
"type": [ {
"code": "Narrative"
} ],
"max": "1",
"id": "Composition.section:medicalContext.section:freedomRestriction.text",
"condition": [ "ele-1", "cmp-1" ],
"comment": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.text"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.mode",
"requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min": 0,
"definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"isModifier": true,
"short": "working | snapshot | changes",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
}, {
"map": "class",
"identity": "w5"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionMode"
} ],
"description": "The processing mode that applies to this section.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"max": "1",
"id": "Composition.section:medicalContext.section:freedomRestriction.mode",
"condition": [ "ele-1" ],
"comment": "This element is labeled as a modifier because a change list must not be mis-understood as a complete list.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.mode"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.orderedBy",
"requirements": "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min": 0,
"definition": "Specifies the order applied to the items in the section entries.",
"short": "Order of section entries",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEntryOrder"
} ],
"description": "What order applies to the items in the entry.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-order"
}
},
"max": "1",
"id": "Composition.section:medicalContext.section:freedomRestriction.orderedBy",
"condition": [ "ele-1" ],
"comment": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.orderedBy"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 1,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "A reference to data that supports this section",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-1130",
"comment": "VrijheidsbeperkendeInterventie",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-FreedomRestrictingIntervention"
} ],
"max": "1",
"id": "Composition.section:medicalContext.section:freedomRestriction.entry",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.emptyReason",
"requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
"min": 0,
"definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"short": "Why the section is empty",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEmptyReason"
} ],
"description": "If a section is empty, why it is empty.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"max": "1",
"id": "Composition.section:medicalContext.section:freedomRestriction.emptyReason",
"condition": [ "ele-1", "cmp-2" ],
"comment": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.emptyReason"
}
}, {
"path": "Composition.section.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Nested Section",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
} ],
"contentReference": "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
"max": "0",
"id": "Composition.section:medicalContext.section:freedomRestriction.section",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"path": "Composition.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Measurements",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-405",
"comment": "Meetwaarden",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"sliceName": "measurements",
"max": "1",
"id": "Composition.section:medicalContext.section:measurements",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Composition.section:medicalContext.section:measurements.id",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings may not exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Composition.section:medicalContext.section:measurements.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Composition.section:medicalContext.section:measurements.modifierExtension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.title",
"requirements": "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"min": 0,
"definition": "The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.",
"short": "Label for section (e.g. for ToC)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "./title",
"identity": "rim"
}, {
"map": ".title",
"identity": "cda"
} ],
"type": [ {
"code": "string"
} ],
"alias": [ "header", "label", "caption" ],
"max": "1",
"id": "Composition.section:medicalContext.section:measurements.title",
"condition": [ "ele-1" ],
"comment": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
"defaultValueString": "Measurements",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.title"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.code",
"requirements": "Provides computable standardized labels to topics within the document.",
"min": 1,
"definition": "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
"short": "Classification of section (recommended)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": "./code",
"identity": "rim"
}, {
"map": ".code",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CompositionSectionType"
} ],
"description": "Classification of a section of a composition/document.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"max": "1",
"id": "Composition.section:medicalContext.section:measurements.code",
"condition": [ "ele-1" ],
"comment": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
"patternCodeableConcept": {
"coding": [ {
"code": "363788007",
"system": "http://snomed.info/sct"
} ]
},
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.code"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.text",
"min": 0,
"definition": "A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative.",
"short": "Text summary of the section, for human interpretation",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
}, {
"map": ".text",
"identity": "rim"
}, {
"map": ".text",
"identity": "cda"
} ],
"type": [ {
"code": "Narrative"
} ],
"max": "1",
"id": "Composition.section:medicalContext.section:measurements.text",
"condition": [ "ele-1", "cmp-1" ],
"comment": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.text"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.mode",
"requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min": 0,
"definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"isModifier": true,
"short": "working | snapshot | changes",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
}, {
"map": "class",
"identity": "w5"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionMode"
} ],
"description": "The processing mode that applies to this section.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"max": "1",
"id": "Composition.section:medicalContext.section:measurements.mode",
"condition": [ "ele-1" ],
"comment": "This element is labeled as a modifier because a change list must not be mis-understood as a complete list.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.mode"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.orderedBy",
"requirements": "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min": 0,
"definition": "Specifies the order applied to the items in the section entries.",
"short": "Order of section entries",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEntryOrder"
} ],
"description": "What order applies to the items in the entry.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-order"
}
},
"max": "1",
"id": "Composition.section:medicalContext.section:measurements.orderedBy",
"condition": [ "ele-1" ],
"comment": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.orderedBy"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "A reference to data that supports this section",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
} ],
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "resolve()",
"type": "profile"
} ]
},
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
} ],
"max": "*",
"id": "Composition.section:medicalContext.section:measurements.entry",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "Blood Pressure",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-406",
"comment": "Bloeddruk",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-BloodPressure"
} ],
"sliceName": "bloodPressure",
"max": "1",
"id": "Composition.section:medicalContext.section:measurements.entry:bloodPressure",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "Pulse Rate",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-417",
"comment": "Polsfrequentie",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-PulseRate"
} ],
"sliceName": "pulseRate",
"max": "1",
"id": "Composition.section:medicalContext.section:measurements.entry:pulseRate",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "Body Temperature",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-422",
"comment": "Lichaamstemperatuur",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-BodyTemperature"
} ],
"sliceName": "bodyTemperature",
"max": "1",
"id": "Composition.section:medicalContext.section:measurements.entry:bodyTemperature",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "Respiration",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-427",
"comment": "Ademhaling",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Respiration"
} ],
"sliceName": "respiration",
"max": "1",
"id": "Composition.section:medicalContext.section:measurements.entry:respiration",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "A reference to data that supports this section",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-438",
"comment": "Ademhaling:ToegediendeZuurstof:ToedieningHulpmiddel",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Respiration-AdministeredOxygen-AdministrationDevice"
} ],
"sliceName": "respiration-AdministrationDevice",
"max": "1",
"id": "Composition.section:medicalContext.section:measurements.entry:respiration-AdministrationDevice",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "Body Weight",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-454",
"comment": "Lichaamsgewicht",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-BodyWeight"
} ],
"sliceName": "bodyWeight",
"max": "1",
"id": "Composition.section:medicalContext.section:measurements.entry:bodyWeight",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "Body Length",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-459",
"comment": "Lichaamslengte",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-BodyHeight"
} ],
"sliceName": "bodyLength",
"max": "1",
"id": "Composition.section:medicalContext.section:measurements.entry:bodyLength",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.emptyReason",
"requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
"min": 0,
"definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"short": "Why the section is empty",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEmptyReason"
} ],
"description": "If a section is empty, why it is empty.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"max": "1",
"id": "Composition.section:medicalContext.section:measurements.emptyReason",
"condition": [ "ele-1", "cmp-2" ],
"comment": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.emptyReason"
}
}, {
"path": "Composition.section.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Nested Section",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
} ],
"contentReference": "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
"max": "*",
"id": "Composition.section:medicalContext.section:measurements.section",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"path": "Composition.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Pain Score",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-487",
"comment": "Pijnscore",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"sliceName": "painScore",
"max": "1",
"id": "Composition.section:medicalContext.section:painScore",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Composition.section:medicalContext.section:painScore.id",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings may not exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Composition.section:medicalContext.section:painScore.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Composition.section:medicalContext.section:painScore.modifierExtension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.title",
"requirements": "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"min": 0,
"definition": "The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.",
"short": "Label for section (e.g. for ToC)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "./title",
"identity": "rim"
}, {
"map": ".title",
"identity": "cda"
} ],
"type": [ {
"code": "string"
} ],
"alias": [ "header", "label", "caption" ],
"max": "1",
"id": "Composition.section:medicalContext.section:painScore.title",
"condition": [ "ele-1" ],
"comment": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
"defaultValueString": "Pain score",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.title"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.code",
"requirements": "Provides computable standardized labels to topics within the document.",
"min": 1,
"definition": "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
"short": "Classification of section (recommended)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": "./code",
"identity": "rim"
}, {
"map": ".code",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CompositionSectionType"
} ],
"description": "Classification of a section of a composition/document.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"max": "1",
"id": "Composition.section:medicalContext.section:painScore.code",
"condition": [ "ele-1" ],
"comment": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
"patternCodeableConcept": {
"coding": [ {
"code": "11011000146108",
"system": "http://snomed.info/sct"
} ]
},
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.code"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.text",
"min": 0,
"definition": "A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative.",
"short": "Text summary of the section, for human interpretation",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
}, {
"map": ".text",
"identity": "rim"
}, {
"map": ".text",
"identity": "cda"
} ],
"type": [ {
"code": "Narrative"
} ],
"max": "1",
"id": "Composition.section:medicalContext.section:painScore.text",
"condition": [ "ele-1", "cmp-1" ],
"comment": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.text"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.mode",
"requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min": 0,
"definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"isModifier": true,
"short": "working | snapshot | changes",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
}, {
"map": "class",
"identity": "w5"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionMode"
} ],
"description": "The processing mode that applies to this section.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"max": "1",
"id": "Composition.section:medicalContext.section:painScore.mode",
"condition": [ "ele-1" ],
"comment": "This element is labeled as a modifier because a change list must not be mis-understood as a complete list.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.mode"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.orderedBy",
"requirements": "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min": 0,
"definition": "Specifies the order applied to the items in the section entries.",
"short": "Order of section entries",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEntryOrder"
} ],
"description": "What order applies to the items in the entry.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-order"
}
},
"max": "1",
"id": "Composition.section:medicalContext.section:painScore.orderedBy",
"condition": [ "ele-1" ],
"comment": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.orderedBy"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 1,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "A reference to data that supports this section",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-487",
"comment": "PijnScore",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-PainScore"
} ],
"max": "1",
"id": "Composition.section:medicalContext.section:painScore.entry",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.emptyReason",
"requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
"min": 0,
"definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"short": "Why the section is empty",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEmptyReason"
} ],
"description": "If a section is empty, why it is empty.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"max": "1",
"id": "Composition.section:medicalContext.section:painScore.emptyReason",
"condition": [ "ele-1", "cmp-2" ],
"comment": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.emptyReason"
}
}, {
"path": "Composition.section.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Nested Section",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
} ],
"contentReference": "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
"max": "0",
"id": "Composition.section:medicalContext.section:painScore.section",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "cmp-1",
"human": "A section must at least one of text, entries, or sub-sections",
"xpath": "exists(f:text) or exists(f:entry) or exists(f:section)",
"source": "http://hl7.org/fhir/StructureDefinition/Composition",
"severity": "error",
"expression": "text.exists() or entry.exists() or section.exists()"
}, {
"key": "cmp-2",
"human": "A section can only have an emptyReason if it is empty",
"xpath": "not(exists(f:emptyReason) and exists(f:entry))",
"source": "http://hl7.org/fhir/StructureDefinition/Composition",
"severity": "error",
"expression": "emptyReason.empty() or entry.empty()"
} ],
"path": "Composition.section",
"min": 1,
"definition": "The root of the sections that make up the composition.",
"short": "Care Plan",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.structuredBody.component.section",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-529",
"comment": "Verpleegkundige context: zorgplan",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"sliceName": "carePlan",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "Section"
} ],
"max": "1",
"id": "Composition.section:carePlan",
"condition": [ "ele-1" ],
"base": {
"max": "*",
"min": 0,
"path": "Composition.section"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Composition.section:carePlan.id",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings may not exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Composition.section:carePlan.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Composition.section:carePlan.modifierExtension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.title",
"requirements": "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"min": 0,
"definition": "The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.",
"short": "Label for section (e.g. for ToC)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "./title",
"identity": "rim"
}, {
"map": ".title",
"identity": "cda"
} ],
"type": [ {
"code": "string"
} ],
"alias": [ "header", "label", "caption" ],
"max": "1",
"id": "Composition.section:carePlan.title",
"condition": [ "ele-1" ],
"comment": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
"defaultValueString": "Careplan",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.title"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.code",
"requirements": "Provides computable standardized labels to topics within the document.",
"min": 1,
"definition": "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
"short": "Classification of section (recommended)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": "./code",
"identity": "rim"
}, {
"map": ".code",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CompositionSectionType"
} ],
"description": "Classification of a section of a composition/document.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"max": "1",
"id": "Composition.section:carePlan.code",
"condition": [ "ele-1" ],
"comment": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
"patternCodeableConcept": {
"coding": [ {
"code": "773130005",
"system": "http://snomed.info/sct"
} ]
},
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.code"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.text",
"min": 0,
"definition": "A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative.",
"short": "Text summary of the section, for human interpretation",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
}, {
"map": ".text",
"identity": "rim"
}, {
"map": ".text",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-1162",
"comment": "Verpleegkundig zorgplan in (opgemaakte) tekst",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Narrative"
} ],
"max": "1",
"id": "Composition.section:carePlan.text",
"condition": [ "ele-1", "cmp-1" ],
"comment": "This element can be used to communicate an unstructured care plan by setting `.section:carePlan:text.status` to _additional_. If the unstructured care plan is communicated, there should be no structred data in `.section:carePlan:.section`.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.text"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.mode",
"requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min": 0,
"definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"isModifier": true,
"short": "working | snapshot | changes",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
}, {
"map": "class",
"identity": "w5"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionMode"
} ],
"description": "The processing mode that applies to this section.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"max": "1",
"id": "Composition.section:carePlan.mode",
"condition": [ "ele-1" ],
"comment": "This element is labeled as a modifier because a change list must not be mis-understood as a complete list.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.mode"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.orderedBy",
"requirements": "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min": 0,
"definition": "Specifies the order applied to the items in the section entries.",
"short": "Order of section entries",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEntryOrder"
} ],
"description": "What order applies to the items in the entry.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-order"
}
},
"max": "1",
"id": "Composition.section:carePlan.orderedBy",
"condition": [ "ele-1" ],
"comment": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.orderedBy"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "A reference to data that supports this section",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
} ],
"max": "0",
"id": "Composition.section:carePlan.entry",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.emptyReason",
"requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
"min": 0,
"definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"short": "Why the section is empty",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEmptyReason"
} ],
"description": "If a section is empty, why it is empty.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"max": "1",
"id": "Composition.section:carePlan.emptyReason",
"condition": [ "ele-1", "cmp-2" ],
"comment": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.emptyReason"
}
}, {
"path": "Composition.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Nested Section",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
} ],
"contentReference": "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "code",
"type": "value"
} ]
},
"max": "*",
"id": "Composition.section:carePlan.section",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"path": "Composition.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Current Patient Problems",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-530",
"comment": "Actuele patiëntproblemen",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"sliceName": "currentPatientProblems",
"max": "*",
"id": "Composition.section:carePlan.section:currentPatientProblems",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Composition.section:carePlan.section:currentPatientProblems.id",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings may not exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Composition.section:carePlan.section:currentPatientProblems.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Composition.section:carePlan.section:currentPatientProblems.modifierExtension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.title",
"requirements": "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"min": 0,
"definition": "The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.",
"short": "Label for section (e.g. for ToC)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "./title",
"identity": "rim"
}, {
"map": ".title",
"identity": "cda"
} ],
"type": [ {
"code": "string"
} ],
"alias": [ "header", "label", "caption" ],
"max": "1",
"id": "Composition.section:carePlan.section:currentPatientProblems.title",
"condition": [ "ele-1" ],
"comment": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
"defaultValueString": "Current patient problems",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.title"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.code",
"requirements": "Provides computable standardized labels to topics within the document.",
"min": 1,
"definition": "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
"short": "Classification of section (recommended)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": "./code",
"identity": "rim"
}, {
"map": ".code",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CompositionSectionType"
} ],
"description": "Classification of a section of a composition/document.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"max": "1",
"id": "Composition.section:carePlan.section:currentPatientProblems.code",
"condition": [ "ele-1" ],
"comment": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
"patternCodeableConcept": {
"coding": [ {
"code": "86644006",
"system": "http://snomed.info/sct"
} ]
},
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.code"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.text",
"min": 0,
"definition": "A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative.",
"short": "Text summary of the section, for human interpretation",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
}, {
"map": ".text",
"identity": "rim"
}, {
"map": ".text",
"identity": "cda"
} ],
"type": [ {
"code": "Narrative"
} ],
"max": "1",
"id": "Composition.section:carePlan.section:currentPatientProblems.text",
"condition": [ "ele-1", "cmp-1" ],
"comment": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.text"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.mode",
"requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min": 0,
"definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"isModifier": true,
"short": "working | snapshot | changes",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
}, {
"map": "class",
"identity": "w5"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionMode"
} ],
"description": "The processing mode that applies to this section.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"max": "1",
"id": "Composition.section:carePlan.section:currentPatientProblems.mode",
"condition": [ "ele-1" ],
"comment": "This element is labeled as a modifier because a change list must not be mis-understood as a complete list.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.mode"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.orderedBy",
"requirements": "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min": 0,
"definition": "Specifies the order applied to the items in the section entries.",
"short": "Order of section entries",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEntryOrder"
} ],
"description": "What order applies to the items in the entry.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-order"
}
},
"max": "1",
"id": "Composition.section:carePlan.section:currentPatientProblems.orderedBy",
"condition": [ "ele-1" ],
"comment": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.orderedBy"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 1,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "A reference to data that supports this section",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
} ],
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "resolve()",
"type": "profile"
} ]
},
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
} ],
"max": "*",
"id": "Composition.section:carePlan.section:currentPatientProblems.entry",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 1,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "Problem",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-532",
"comment": "Probleem",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Problem"
} ],
"sliceName": "problem",
"max": "*",
"id": "Composition.section:carePlan.section:currentPatientProblems.entry:problem",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 1,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "Nursing Intervention",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-542",
"comment": "VerpleegkundigeInterventie",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-NursingIntervention"
} ],
"sliceName": "nursingIntervention",
"max": "*",
"id": "Composition.section:carePlan.section:currentPatientProblems.entry:nursingIntervention",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.emptyReason",
"requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
"min": 0,
"definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"short": "Why the section is empty",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEmptyReason"
} ],
"description": "If a section is empty, why it is empty.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"max": "1",
"id": "Composition.section:carePlan.section:currentPatientProblems.emptyReason",
"condition": [ "ele-1", "cmp-2" ],
"comment": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.emptyReason"
}
}, {
"path": "Composition.section.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Nested Section",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
} ],
"contentReference": "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
"max": "0",
"id": "Composition.section:carePlan.section:currentPatientProblems.section",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"path": "Composition.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Outcome Of Care",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-586",
"comment": "Zorgresultaat",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"sliceName": "outcomeOfCare",
"max": "1",
"id": "Composition.section:carePlan.section:outcomeOfCare",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Composition.section:carePlan.section:outcomeOfCare.id",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings may not exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Composition.section:carePlan.section:outcomeOfCare.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Composition.section:carePlan.section:outcomeOfCare.modifierExtension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.title",
"requirements": "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"min": 0,
"definition": "The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.",
"short": "Label for section (e.g. for ToC)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "./title",
"identity": "rim"
}, {
"map": ".title",
"identity": "cda"
} ],
"type": [ {
"code": "string"
} ],
"alias": [ "header", "label", "caption" ],
"max": "1",
"id": "Composition.section:carePlan.section:outcomeOfCare.title",
"condition": [ "ele-1" ],
"comment": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
"defaultValueString": "Outcome of care",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.title"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.code",
"requirements": "Provides computable standardized labels to topics within the document.",
"min": 1,
"definition": "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
"short": "Classification of section (recommended)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": "./code",
"identity": "rim"
}, {
"map": ".code",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CompositionSectionType"
} ],
"description": "Classification of a section of a composition/document.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"max": "1",
"id": "Composition.section:carePlan.section:outcomeOfCare.code",
"condition": [ "ele-1" ],
"comment": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
"patternCodeableConcept": {
"coding": [ {
"code": "722091001",
"system": "http://snomed.info/sct"
} ]
},
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.code"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.text",
"min": 0,
"definition": "A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative.",
"short": "Text summary of the section, for human interpretation",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
}, {
"map": ".text",
"identity": "rim"
}, {
"map": ".text",
"identity": "cda"
} ],
"type": [ {
"code": "Narrative"
} ],
"max": "1",
"id": "Composition.section:carePlan.section:outcomeOfCare.text",
"condition": [ "ele-1", "cmp-1" ],
"comment": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.text"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.mode",
"requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min": 0,
"definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"isModifier": true,
"short": "working | snapshot | changes",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
}, {
"map": "class",
"identity": "w5"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionMode"
} ],
"description": "The processing mode that applies to this section.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"max": "1",
"id": "Composition.section:carePlan.section:outcomeOfCare.mode",
"condition": [ "ele-1" ],
"comment": "This element is labeled as a modifier because a change list must not be mis-understood as a complete list.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.mode"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.orderedBy",
"requirements": "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min": 0,
"definition": "Specifies the order applied to the items in the section entries.",
"short": "Order of section entries",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEntryOrder"
} ],
"description": "What order applies to the items in the entry.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-order"
}
},
"max": "1",
"id": "Composition.section:carePlan.section:outcomeOfCare.orderedBy",
"condition": [ "ele-1" ],
"comment": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.orderedBy"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 1,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "A reference to data that supports this section",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-587",
"comment": "UitkomstVanZorg",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-OutcomeOfCare"
} ],
"max": "*",
"id": "Composition.section:carePlan.section:outcomeOfCare.entry",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.emptyReason",
"requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
"min": 0,
"definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"short": "Why the section is empty",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEmptyReason"
} ],
"description": "If a section is empty, why it is empty.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"max": "1",
"id": "Composition.section:carePlan.section:outcomeOfCare.emptyReason",
"condition": [ "ele-1", "cmp-2" ],
"comment": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.emptyReason"
}
}, {
"path": "Composition.section.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Nested Section",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
} ],
"contentReference": "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
"max": "0",
"id": "Composition.section:carePlan.section:outcomeOfCare.section",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"path": "Composition.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Patient Appointments",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-595",
"comment": "Afspraken patient",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"sliceName": "patientAppointments",
"max": "1",
"id": "Composition.section:carePlan.section:patientAppointments",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Composition.section:carePlan.section:patientAppointments.id",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings may not exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Composition.section:carePlan.section:patientAppointments.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Composition.section:carePlan.section:patientAppointments.modifierExtension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.title",
"requirements": "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"min": 0,
"definition": "The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.",
"short": "Label for section (e.g. for ToC)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "./title",
"identity": "rim"
}, {
"map": ".title",
"identity": "cda"
} ],
"type": [ {
"code": "string"
} ],
"alias": [ "header", "label", "caption" ],
"max": "1",
"id": "Composition.section:carePlan.section:patientAppointments.title",
"condition": [ "ele-1" ],
"comment": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
"defaultValueString": "Patient appointments",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.title"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.code",
"requirements": "Provides computable standardized labels to topics within the document.",
"min": 1,
"definition": "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
"short": "Classification of section (recommended)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": "./code",
"identity": "rim"
}, {
"map": ".code",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CompositionSectionType"
} ],
"description": "Classification of a section of a composition/document.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"max": "1",
"id": "Composition.section:carePlan.section:patientAppointments.code",
"condition": [ "ele-1" ],
"comment": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
"patternCodeableConcept": {
"coding": [ {
"code": "308335008",
"system": "http://snomed.info/sct"
} ]
},
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.code"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.text",
"min": 0,
"definition": "A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative.",
"short": "Text summary of the section, for human interpretation",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
}, {
"map": ".text",
"identity": "rim"
}, {
"map": ".text",
"identity": "cda"
} ],
"type": [ {
"code": "Narrative"
} ],
"max": "1",
"id": "Composition.section:carePlan.section:patientAppointments.text",
"condition": [ "ele-1", "cmp-1" ],
"comment": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.text"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.mode",
"requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min": 0,
"definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"isModifier": true,
"short": "working | snapshot | changes",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
}, {
"map": "class",
"identity": "w5"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionMode"
} ],
"description": "The processing mode that applies to this section.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"max": "1",
"id": "Composition.section:carePlan.section:patientAppointments.mode",
"condition": [ "ele-1" ],
"comment": "This element is labeled as a modifier because a change list must not be mis-understood as a complete list.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.mode"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.orderedBy",
"requirements": "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min": 0,
"definition": "Specifies the order applied to the items in the section entries.",
"short": "Order of section entries",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEntryOrder"
} ],
"description": "What order applies to the items in the entry.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-order"
}
},
"max": "1",
"id": "Composition.section:carePlan.section:patientAppointments.orderedBy",
"condition": [ "ele-1" ],
"comment": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.orderedBy"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "A reference to data that supports this section",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-1146",
"comment": "Contact",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/eOverdracht-Encounter"
} ],
"max": "*",
"id": "Composition.section:carePlan.section:patientAppointments.entry",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.emptyReason",
"requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
"min": 0,
"definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"short": "Why the section is empty",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEmptyReason"
} ],
"description": "If a section is empty, why it is empty.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"max": "1",
"id": "Composition.section:carePlan.section:patientAppointments.emptyReason",
"condition": [ "ele-1", "cmp-2" ],
"comment": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.emptyReason"
}
}, {
"path": "Composition.section.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Nested Section",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
} ],
"contentReference": "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
"max": "0",
"id": "Composition.section:carePlan.section:patientAppointments.section",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "cmp-1",
"human": "A section must at least one of text, entries, or sub-sections",
"xpath": "exists(f:text) or exists(f:entry) or exists(f:section)",
"source": "http://hl7.org/fhir/StructureDefinition/Composition",
"severity": "error",
"expression": "text.exists() or entry.exists() or section.exists()"
}, {
"key": "cmp-2",
"human": "A section can only have an emptyReason if it is empty",
"xpath": "not(exists(f:emptyReason) and exists(f:entry))",
"source": "http://hl7.org/fhir/StructureDefinition/Composition",
"severity": "error",
"expression": "emptyReason.empty() or entry.empty()"
} ],
"path": "Composition.section",
"min": 0,
"definition": "The root of the sections that make up the composition.",
"short": "Health State",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.structuredBody.component.section",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-644",
"comment": "Verpleegkundige context: specificatie gezondheidstoestand",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"sliceName": "healthState",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "Section"
} ],
"max": "1",
"id": "Composition.section:healthState",
"condition": [ "ele-1" ],
"base": {
"max": "*",
"min": 0,
"path": "Composition.section"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Composition.section:healthState.id",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings may not exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Composition.section:healthState.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Composition.section:healthState.modifierExtension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.title",
"requirements": "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"min": 0,
"definition": "The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.",
"short": "Label for section (e.g. for ToC)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "./title",
"identity": "rim"
}, {
"map": ".title",
"identity": "cda"
} ],
"type": [ {
"code": "string"
} ],
"alias": [ "header", "label", "caption" ],
"max": "1",
"id": "Composition.section:healthState.title",
"condition": [ "ele-1" ],
"comment": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
"defaultValueString": "Health state",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.title"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.code",
"requirements": "Provides computable standardized labels to topics within the document.",
"min": 1,
"definition": "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
"short": "Classification of section (recommended)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": "./code",
"identity": "rim"
}, {
"map": ".code",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CompositionSectionType"
} ],
"description": "Classification of a section of a composition/document.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"max": "1",
"id": "Composition.section:healthState.code",
"condition": [ "ele-1" ],
"comment": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
"patternCodeableConcept": {
"coding": [ {
"code": "5531000179105",
"system": "http://snomed.info/sct"
} ]
},
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.code"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.text",
"min": 0,
"definition": "A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative.",
"short": "Text summary of the section, for human interpretation",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
}, {
"map": ".text",
"identity": "rim"
}, {
"map": ".text",
"identity": "cda"
} ],
"type": [ {
"code": "Narrative"
} ],
"max": "1",
"id": "Composition.section:healthState.text",
"condition": [ "ele-1", "cmp-1" ],
"comment": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.text"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.mode",
"requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min": 0,
"definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"isModifier": true,
"short": "working | snapshot | changes",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
}, {
"map": "class",
"identity": "w5"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionMode"
} ],
"description": "The processing mode that applies to this section.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"max": "1",
"id": "Composition.section:healthState.mode",
"condition": [ "ele-1" ],
"comment": "This element is labeled as a modifier because a change list must not be mis-understood as a complete list.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.mode"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.orderedBy",
"requirements": "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min": 0,
"definition": "Specifies the order applied to the items in the section entries.",
"short": "Order of section entries",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEntryOrder"
} ],
"description": "What order applies to the items in the entry.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-order"
}
},
"max": "1",
"id": "Composition.section:healthState.orderedBy",
"condition": [ "ele-1" ],
"comment": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.orderedBy"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "A reference to data that supports this section",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
} ],
"max": "*",
"id": "Composition.section:healthState.entry",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.emptyReason",
"requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
"min": 0,
"definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"short": "Why the section is empty",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEmptyReason"
} ],
"description": "If a section is empty, why it is empty.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"max": "1",
"id": "Composition.section:healthState.emptyReason",
"condition": [ "ele-1", "cmp-2" ],
"comment": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.emptyReason"
}
}, {
"path": "Composition.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Nested Section",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
} ],
"contentReference": "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "code",
"type": "value"
} ]
},
"max": "*",
"id": "Composition.section:healthState.section",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"path": "Composition.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Self Care",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-645",
"comment": "Zelfzorg",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"sliceName": "selfCare",
"max": "1",
"id": "Composition.section:healthState.section:selfCare",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Composition.section:healthState.section:selfCare.id",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings may not exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Composition.section:healthState.section:selfCare.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.extension",
"min": 0,
"definition": "Optional Extension Element - found in all resources.",
"short": "Optional Extensions Element",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/eOverdracht-CommentOnSelfCare"
} ],
"sliceName": "commentOnSelfCare",
"alias": [ "extensions", "user content" ],
"max": "1",
"id": "Composition.section:healthState.section:selfCare.extension:commentOnSelfCare",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.extension.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Composition.section:healthState.section:selfCare.extension:commentOnSelfCare.id",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings may not exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.extension.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Composition.section:healthState.section:selfCare.extension:commentOnSelfCare.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"short": "identifies the meaning of the extension",
"fixedUri": "http://nictiz.nl/fhir/StructureDefinition/eOverdracht-CommentOnSelfCare",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "uri"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Composition.section:healthState.section:selfCare.extension:commentOnSelfCare.url",
"condition": [ "ele-1" ],
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.extension.valueString",
"min": 0,
"definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
"short": "Value of extension",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
}, {
"map": "e-overdracht-dataelement-v4-762",
"comment": "Toelichting zelfzorg",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "string"
} ],
"sliceName": "valueString",
"max": "1",
"id": "Composition.section:healthState.section:selfCare.extension:commentOnSelfCare.valueString:valueString",
"condition": [ "ele-1" ],
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Composition.section:healthState.section:selfCare.modifierExtension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.title",
"requirements": "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"min": 0,
"definition": "The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.",
"short": "Label for section (e.g. for ToC)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "./title",
"identity": "rim"
}, {
"map": ".title",
"identity": "cda"
} ],
"type": [ {
"code": "string"
} ],
"alias": [ "header", "label", "caption" ],
"max": "1",
"id": "Composition.section:healthState.section:selfCare.title",
"condition": [ "ele-1" ],
"comment": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
"defaultValueString": "Self care",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.title"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.code",
"requirements": "Provides computable standardized labels to topics within the document.",
"min": 1,
"definition": "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
"short": "Classification of section (recommended)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": "./code",
"identity": "rim"
}, {
"map": ".code",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CompositionSectionType"
} ],
"description": "Classification of a section of a composition/document.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"max": "1",
"id": "Composition.section:healthState.section:selfCare.code",
"condition": [ "ele-1" ],
"comment": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
"patternCodeableConcept": {
"coding": [ {
"code": "365178001",
"system": "http://snomed.info/sct"
} ]
},
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.code"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.text",
"min": 0,
"definition": "A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative.",
"short": "Text summary of the section, for human interpretation",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
}, {
"map": ".text",
"identity": "rim"
}, {
"map": ".text",
"identity": "cda"
} ],
"type": [ {
"code": "Narrative"
} ],
"max": "1",
"id": "Composition.section:healthState.section:selfCare.text",
"condition": [ "ele-1", "cmp-1" ],
"comment": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.text"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.mode",
"requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min": 0,
"definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"isModifier": true,
"short": "working | snapshot | changes",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
}, {
"map": "class",
"identity": "w5"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionMode"
} ],
"description": "The processing mode that applies to this section.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"max": "1",
"id": "Composition.section:healthState.section:selfCare.mode",
"condition": [ "ele-1" ],
"comment": "This element is labeled as a modifier because a change list must not be mis-understood as a complete list.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.mode"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.orderedBy",
"requirements": "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min": 0,
"definition": "Specifies the order applied to the items in the section entries.",
"short": "Order of section entries",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEntryOrder"
} ],
"description": "What order applies to the items in the entry.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-order"
}
},
"max": "1",
"id": "Composition.section:healthState.section:selfCare.orderedBy",
"condition": [ "ele-1" ],
"comment": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.orderedBy"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "A reference to data that supports this section",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
} ],
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "resolve()",
"type": "profile"
} ]
},
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
} ],
"max": "*",
"id": "Composition.section:healthState.section:selfCare.entry",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "Ability To Drink",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-646",
"comment": "VermogenTotDrinken",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-AbilityToDrink"
} ],
"sliceName": "abilityToDrink",
"max": "*",
"id": "Composition.section:healthState.section:selfCare.entry:abilityToDrink",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "Ability To Eat",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-649",
"comment": "VermogenTotEten",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-AbilityToEat"
} ],
"sliceName": "abilityToEat",
"max": "*",
"id": "Composition.section:healthState.section:selfCare.entry:abilityToEat",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "Ability To Perform Mouthcare Activities",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-652",
"comment": "VermogenTotMondVerzorging",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-AbilityToPerformMouthcareActivities"
} ],
"sliceName": "abilityToPerformMouthcareActivities",
"max": "1",
"id": "Composition.section:healthState.section:selfCare.entry:abilityToPerformMouthcareActivities",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "A reference to data that supports this section",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-654",
"comment": "VermogenTotMonderverzorging:Prothese",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-AbilityToPerformMouthcareActivities-MedicalDevice"
} ],
"sliceName": "abilityToPerformMouthcareActivities-Prosthesis",
"max": "*",
"id": "Composition.section:healthState.section:selfCare.entry:abilityToPerformMouthcareActivities-Prosthesis",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "Ability To Wash One Self",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-670",
"comment": "VermogenTotWassen",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-AbilityToWashOneSelf"
} ],
"sliceName": "abilityToWashOneSelf",
"max": "*",
"id": "Composition.section:healthState.section:selfCare.entry:abilityToWashOneSelf",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "Ability To Dress One Self",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-673",
"comment": "VermogenTotKleden",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-AbilityToDressOneself"
} ],
"sliceName": "abilityToDressOneSelf",
"max": "*",
"id": "Composition.section:healthState.section:selfCare.entry:abilityToDressOneSelf",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "Ability To Groome",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-676",
"comment": "VermogenTotUiterlijkeVerzorging",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-AbilityToGroome"
} ],
"sliceName": "abilityToGroome",
"max": "1",
"id": "Composition.section:healthState.section:selfCare.entry:abilityToGroome",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "Ability To Use Toilet",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-678",
"comment": "VermogenTotToiletgang",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-AbilityToUseToilet"
} ],
"sliceName": "abilityToUseToilet",
"max": "1",
"id": "Composition.section:healthState.section:selfCare.entry:abilityToUseToilet",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "Ability To Manage Medication",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-681",
"comment": "VermogenTotZelfstandigMedicatieGebruik",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-AbilityToManageMedication"
} ],
"sliceName": "abilityToManageMedication",
"max": "1",
"id": "Composition.section:healthState.section:selfCare.entry:abilityToManageMedication",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "Ability To Perform Nursing Activities",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-685",
"comment": "VermogenTotVerpleegtechnischeHandelingen",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-AbilityToPerformNursingActivities"
} ],
"sliceName": "AbilityToPerformNursingActivities",
"max": "*",
"id": "Composition.section:healthState.section:selfCare.entry:AbilityToPerformNursingActivities",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "Use this slice to register zib MedicalDevice used in the instances of zib NursingIntervention resulting from zib AbilityToPerformNursingActivities and zib AbilityToManageMedication",
"short": "MedicalDevice",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-704",
"comment": "MedischHulpmiddel",
"identity": "eOverdracht-NursingHandoff-Adults"
}, {
"map": "e-overdracht-dataelement-v4-1602",
"comment": "MedischHulpmiddel",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDevice"
} ],
"sliceName": "medicalDevice",
"max": "*",
"id": "Composition.section:healthState.section:selfCare.entry:medicalDevice",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.emptyReason",
"requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
"min": 0,
"definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"short": "Why the section is empty",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEmptyReason"
} ],
"description": "If a section is empty, why it is empty.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"max": "1",
"id": "Composition.section:healthState.section:selfCare.emptyReason",
"condition": [ "ele-1", "cmp-2" ],
"comment": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.emptyReason"
}
}, {
"path": "Composition.section.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Nested Section",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
} ],
"contentReference": "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
"max": "*",
"id": "Composition.section:healthState.section:selfCare.section",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"path": "Composition.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Mobility",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-763",
"comment": "Mobiliteit",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"sliceName": "mobility",
"max": "1",
"id": "Composition.section:healthState.section:mobility",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Composition.section:healthState.section:mobility.id",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings may not exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Composition.section:healthState.section:mobility.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Composition.section:healthState.section:mobility.modifierExtension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.title",
"requirements": "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"min": 0,
"definition": "The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.",
"short": "Label for section (e.g. for ToC)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "./title",
"identity": "rim"
}, {
"map": ".title",
"identity": "cda"
} ],
"type": [ {
"code": "string"
} ],
"alias": [ "header", "label", "caption" ],
"max": "1",
"id": "Composition.section:healthState.section:mobility.title",
"condition": [ "ele-1" ],
"comment": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
"defaultValueString": "Mobility",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.title"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.code",
"requirements": "Provides computable standardized labels to topics within the document.",
"min": 1,
"definition": "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
"short": "Classification of section (recommended)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": "./code",
"identity": "rim"
}, {
"map": ".code",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CompositionSectionType"
} ],
"description": "Classification of a section of a composition/document.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"max": "1",
"id": "Composition.section:healthState.section:mobility.code",
"condition": [ "ele-1" ],
"comment": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
"patternCodeableConcept": {
"coding": [ {
"code": "364832000",
"system": "http://snomed.info/sct"
} ]
},
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.code"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.text",
"min": 0,
"definition": "A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative.",
"short": "Text summary of the section, for human interpretation",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
}, {
"map": ".text",
"identity": "rim"
}, {
"map": ".text",
"identity": "cda"
} ],
"type": [ {
"code": "Narrative"
} ],
"max": "1",
"id": "Composition.section:healthState.section:mobility.text",
"condition": [ "ele-1", "cmp-1" ],
"comment": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.text"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.mode",
"requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min": 0,
"definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"isModifier": true,
"short": "working | snapshot | changes",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
}, {
"map": "class",
"identity": "w5"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionMode"
} ],
"description": "The processing mode that applies to this section.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"max": "1",
"id": "Composition.section:healthState.section:mobility.mode",
"condition": [ "ele-1" ],
"comment": "This element is labeled as a modifier because a change list must not be mis-understood as a complete list.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.mode"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.orderedBy",
"requirements": "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min": 0,
"definition": "Specifies the order applied to the items in the section entries.",
"short": "Order of section entries",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEntryOrder"
} ],
"description": "What order applies to the items in the entry.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-order"
}
},
"max": "1",
"id": "Composition.section:healthState.section:mobility.orderedBy",
"condition": [ "ele-1" ],
"comment": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.orderedBy"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 1,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "A reference to data that supports this section",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
} ],
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "resolve()",
"type": "profile"
} ]
},
"type": [ {
"code": "Reference"
} ],
"max": "*",
"id": "Composition.section:healthState.section:mobility.entry",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 1,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "Mobility",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-764",
"comment": "Mobiliteit",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Mobility"
} ],
"sliceName": "mobility",
"max": "1",
"id": "Composition.section:healthState.section:mobility.entry:mobility",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "Medical Device",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-770",
"comment": "MedischHulpmiddel",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDevice"
} ],
"sliceName": "medicalDevice",
"max": "*",
"id": "Composition.section:healthState.section:mobility.entry:medicalDevice",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.emptyReason",
"requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
"min": 0,
"definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"short": "Why the section is empty",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEmptyReason"
} ],
"description": "If a section is empty, why it is empty.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"max": "1",
"id": "Composition.section:healthState.section:mobility.emptyReason",
"condition": [ "ele-1", "cmp-2" ],
"comment": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.emptyReason"
}
}, {
"path": "Composition.section.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Nested Section",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
} ],
"contentReference": "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
"max": "0",
"id": "Composition.section:healthState.section:mobility.section",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"path": "Composition.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Nutrition or fluid",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-787",
"comment": "Voeding/vocht",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"sliceName": "nutritionOrFluid",
"max": "1",
"id": "Composition.section:healthState.section:nutritionOrFluid",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Composition.section:healthState.section:nutritionOrFluid.id",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings may not exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Composition.section:healthState.section:nutritionOrFluid.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Composition.section:healthState.section:nutritionOrFluid.modifierExtension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.title",
"requirements": "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"min": 0,
"definition": "The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.",
"short": "Label for section (e.g. for ToC)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "./title",
"identity": "rim"
}, {
"map": ".title",
"identity": "cda"
} ],
"type": [ {
"code": "string"
} ],
"alias": [ "header", "label", "caption" ],
"max": "1",
"id": "Composition.section:healthState.section:nutritionOrFluid.title",
"condition": [ "ele-1" ],
"comment": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
"defaultValueString": "Nutrition or fluid",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.title"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.code",
"requirements": "Provides computable standardized labels to topics within the document.",
"min": 1,
"definition": "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
"short": "Classification of section (recommended)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": "./code",
"identity": "rim"
}, {
"map": ".code",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CompositionSectionType"
} ],
"description": "Classification of a section of a composition/document.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"max": "1",
"id": "Composition.section:healthState.section:nutritionOrFluid.code",
"condition": [ "ele-1" ],
"comment": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
"patternCodeableConcept": {
"coding": [ {
"code": "300893006",
"system": "http://snomed.info/sct"
} ]
},
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.code"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.text",
"min": 0,
"definition": "A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative.",
"short": "Text summary of the section, for human interpretation",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
}, {
"map": ".text",
"identity": "rim"
}, {
"map": ".text",
"identity": "cda"
} ],
"type": [ {
"code": "Narrative"
} ],
"max": "1",
"id": "Composition.section:healthState.section:nutritionOrFluid.text",
"condition": [ "ele-1", "cmp-1" ],
"comment": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.text"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.mode",
"requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min": 0,
"definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"isModifier": true,
"short": "working | snapshot | changes",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
}, {
"map": "class",
"identity": "w5"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionMode"
} ],
"description": "The processing mode that applies to this section.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"max": "1",
"id": "Composition.section:healthState.section:nutritionOrFluid.mode",
"condition": [ "ele-1" ],
"comment": "This element is labeled as a modifier because a change list must not be mis-understood as a complete list.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.mode"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.orderedBy",
"requirements": "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min": 0,
"definition": "Specifies the order applied to the items in the section entries.",
"short": "Order of section entries",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEntryOrder"
} ],
"description": "What order applies to the items in the entry.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-order"
}
},
"max": "1",
"id": "Composition.section:healthState.section:nutritionOrFluid.orderedBy",
"condition": [ "ele-1" ],
"comment": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.orderedBy"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "A reference to data that supports this section",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
} ],
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "resolve()",
"type": "profile"
} ]
},
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
} ],
"max": "*",
"id": "Composition.section:healthState.section:nutritionOrFluid.entry",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "Nutrition Advice",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-788",
"comment": "Voedingsadvies",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-NutritionAdvice"
} ],
"sliceName": "nutritionAdvice",
"max": "*",
"id": "Composition.section:healthState.section:nutritionOrFluid.entry:nutritionAdvice",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "SNAQScore",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-802",
"comment": "SNAQScore",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-SNAQScore"
} ],
"sliceName": "SNAQScore",
"max": "1",
"id": "Composition.section:healthState.section:nutritionOrFluid.entry:SNAQScore",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "SNAQrcScore",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-809",
"comment": "SNAQrcScore",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-SNAQrcScore"
} ],
"sliceName": "SNAQrcScore",
"max": "1",
"id": "Composition.section:healthState.section:nutritionOrFluid.entry:SNAQrcScore",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "SNAQ65plusScore",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-817",
"comment": "SNAQ65+Score",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-SNAQ65plusScore"
} ],
"sliceName": "SNAQ65plusScore",
"max": "1",
"id": "Composition.section:healthState.section:nutritionOrFluid.entry:SNAQ65plusScore",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "MUSTScore",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-825",
"comment": "MUSTScore",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-MUSTScore"
} ],
"sliceName": "MUSTScore",
"max": "1",
"id": "Composition.section:healthState.section:nutritionOrFluid.entry:MUSTScore",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "Fluid Balance",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-840",
"comment": "Vochtbalans",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-FluidBalance"
} ],
"sliceName": "fluidBalance",
"max": "1",
"id": "Composition.section:healthState.section:nutritionOrFluid.entry:fluidBalance",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "Feeding Tube System",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-846",
"comment": "SondeSysteem",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-FeedingTubeSystem"
} ],
"sliceName": "feedingTubeSystem",
"max": "*",
"id": "Composition.section:healthState.section:nutritionOrFluid.entry:feedingTubeSystem",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "Infusion",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-883",
"comment": "Infuus",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Infusion"
} ],
"sliceName": "infusion",
"max": "*",
"id": "Composition.section:healthState.section:nutritionOrFluid.entry:infusion",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.emptyReason",
"requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
"min": 0,
"definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"short": "Why the section is empty",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEmptyReason"
} ],
"description": "If a section is empty, why it is empty.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"max": "1",
"id": "Composition.section:healthState.section:nutritionOrFluid.emptyReason",
"condition": [ "ele-1", "cmp-2" ],
"comment": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.emptyReason"
}
}, {
"path": "Composition.section.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Nested Section",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
} ],
"contentReference": "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
"max": "*",
"id": "Composition.section:healthState.section:nutritionOrFluid.section",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"path": "Composition.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Excretion",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-937",
"comment": "Uitscheiding",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"sliceName": "excretion",
"max": "*",
"id": "Composition.section:healthState.section:excretion",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Composition.section:healthState.section:excretion.id",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings may not exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Composition.section:healthState.section:excretion.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Composition.section:healthState.section:excretion.modifierExtension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.title",
"requirements": "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"min": 0,
"definition": "The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.",
"short": "Label for section (e.g. for ToC)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "./title",
"identity": "rim"
}, {
"map": ".title",
"identity": "cda"
} ],
"type": [ {
"code": "string"
} ],
"alias": [ "header", "label", "caption" ],
"max": "1",
"id": "Composition.section:healthState.section:excretion.title",
"condition": [ "ele-1" ],
"comment": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
"defaultValueString": "Excretion",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.title"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.code",
"requirements": "Provides computable standardized labels to topics within the document.",
"min": 1,
"definition": "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
"short": "Classification of section (recommended)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": "./code",
"identity": "rim"
}, {
"map": ".code",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CompositionSectionType"
} ],
"description": "Classification of a section of a composition/document.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"max": "1",
"id": "Composition.section:healthState.section:excretion.code",
"condition": [ "ele-1" ],
"comment": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
"patternCodeableConcept": {
"coding": [ {
"code": "106019003",
"system": "http://snomed.info/sct"
} ]
},
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.code"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.text",
"min": 0,
"definition": "A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative.",
"short": "Text summary of the section, for human interpretation",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
}, {
"map": ".text",
"identity": "rim"
}, {
"map": ".text",
"identity": "cda"
} ],
"type": [ {
"code": "Narrative"
} ],
"max": "1",
"id": "Composition.section:healthState.section:excretion.text",
"condition": [ "ele-1", "cmp-1" ],
"comment": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.text"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.mode",
"requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min": 0,
"definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"isModifier": true,
"short": "working | snapshot | changes",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
}, {
"map": "class",
"identity": "w5"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionMode"
} ],
"description": "The processing mode that applies to this section.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"max": "1",
"id": "Composition.section:healthState.section:excretion.mode",
"condition": [ "ele-1" ],
"comment": "This element is labeled as a modifier because a change list must not be mis-understood as a complete list.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.mode"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.orderedBy",
"requirements": "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min": 0,
"definition": "Specifies the order applied to the items in the section entries.",
"short": "Order of section entries",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEntryOrder"
} ],
"description": "What order applies to the items in the entry.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-order"
}
},
"max": "1",
"id": "Composition.section:healthState.section:excretion.orderedBy",
"condition": [ "ele-1" ],
"comment": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.orderedBy"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "A reference to data that supports this section",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
} ],
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "resolve()",
"type": "profile"
} ]
},
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
} ],
"max": "*",
"id": "Composition.section:healthState.section:excretion.entry",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "Bladder Function",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-938",
"comment": "Blaasfunctie",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-BladderFunction"
} ],
"sliceName": "bladderFunction",
"max": "1",
"id": "Composition.section:healthState.section:excretion.entry:bladderFunction",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "A reference to data that supports this section",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-943",
"comment": "MedischHulpmiddel",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-BladderFunction-UrineCatheter"
} ],
"sliceName": "bladderFunction-UrineCatheter",
"max": "*",
"id": "Composition.section:healthState.section:excretion.entry:bladderFunction-UrineCatheter",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "Bowel Function",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-975",
"comment": "Darmfunctie",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-BowelFunction"
} ],
"sliceName": "bowelFunction",
"max": "1",
"id": "Composition.section:healthState.section:excretion.entry:bowelFunction",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "Stoma",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-985",
"comment": "Stoma",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Stoma"
} ],
"sliceName": "stoma",
"max": "*",
"id": "Composition.section:healthState.section:excretion.entry:stoma",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "Used for the MedicalDevice relating to zib BowelFunction and zib Stoma.",
"short": "Medical Device",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-983",
"comment": "MedischHulpmiddel",
"identity": "eOverdracht-NursingHandoff-Adults"
}, {
"map": "e-overdracht-dataelement-v4-988",
"comment": "MedischHulpmiddel",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDevice"
} ],
"sliceName": "medicalDevice",
"max": "*",
"id": "Composition.section:healthState.section:excretion.entry:medicalDevice",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.emptyReason",
"requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
"min": 0,
"definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"short": "Why the section is empty",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEmptyReason"
} ],
"description": "If a section is empty, why it is empty.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"max": "1",
"id": "Composition.section:healthState.section:excretion.emptyReason",
"condition": [ "ele-1", "cmp-2" ],
"comment": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.emptyReason"
}
}, {
"path": "Composition.section.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Nested Section",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
} ],
"contentReference": "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
"max": "0",
"id": "Composition.section:healthState.section:excretion.section",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"path": "Composition.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Skin",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-993",
"comment": "Huid",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"sliceName": "skin",
"max": "1",
"id": "Composition.section:healthState.section:skin",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Composition.section:healthState.section:skin.id",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings may not exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Composition.section:healthState.section:skin.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Composition.section:healthState.section:skin.modifierExtension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.title",
"requirements": "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"min": 0,
"definition": "The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.",
"short": "Label for section (e.g. for ToC)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "./title",
"identity": "rim"
}, {
"map": ".title",
"identity": "cda"
} ],
"type": [ {
"code": "string"
} ],
"alias": [ "header", "label", "caption" ],
"max": "1",
"id": "Composition.section:healthState.section:skin.title",
"condition": [ "ele-1" ],
"comment": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
"defaultValueString": "Skin",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.title"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.code",
"requirements": "Provides computable standardized labels to topics within the document.",
"min": 1,
"definition": "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
"short": "Classification of section (recommended)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": "./code",
"identity": "rim"
}, {
"map": ".code",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CompositionSectionType"
} ],
"description": "Classification of a section of a composition/document.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"max": "1",
"id": "Composition.section:healthState.section:skin.code",
"condition": [ "ele-1" ],
"comment": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
"patternCodeableConcept": {
"coding": [ {
"code": "106076001",
"system": "http://snomed.info/sct"
} ]
},
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.code"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.text",
"min": 0,
"definition": "A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative.",
"short": "Text summary of the section, for human interpretation",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
}, {
"map": ".text",
"identity": "rim"
}, {
"map": ".text",
"identity": "cda"
} ],
"type": [ {
"code": "Narrative"
} ],
"max": "1",
"id": "Composition.section:healthState.section:skin.text",
"condition": [ "ele-1", "cmp-1" ],
"comment": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.text"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.mode",
"requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min": 0,
"definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"isModifier": true,
"short": "working | snapshot | changes",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
}, {
"map": "class",
"identity": "w5"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionMode"
} ],
"description": "The processing mode that applies to this section.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"max": "1",
"id": "Composition.section:healthState.section:skin.mode",
"condition": [ "ele-1" ],
"comment": "This element is labeled as a modifier because a change list must not be mis-understood as a complete list.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.mode"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.orderedBy",
"requirements": "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min": 0,
"definition": "Specifies the order applied to the items in the section entries.",
"short": "Order of section entries",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEntryOrder"
} ],
"description": "What order applies to the items in the entry.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-order"
}
},
"max": "1",
"id": "Composition.section:healthState.section:skin.orderedBy",
"condition": [ "ele-1" ],
"comment": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.orderedBy"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "A reference to data that supports this section",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
} ],
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "resolve()",
"type": "profile"
} ]
},
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
} ],
"max": "*",
"id": "Composition.section:healthState.section:skin.entry",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "Burn Wound",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-994",
"comment": "BrandWond",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-BurnWound"
} ],
"sliceName": "burnWound",
"max": "*",
"id": "Composition.section:healthState.section:skin.entry:burnWound",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "Pressure Ulcer",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-1003",
"comment": "DecubitusWond",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-PressureUlcer"
} ],
"sliceName": "pressureUlcer",
"max": "*",
"id": "Composition.section:healthState.section:skin.entry:pressureUlcer",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "Skin Disorder",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-1014",
"comment": "Huidaandoening",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-SkinDisorder"
} ],
"sliceName": "skinDisorder",
"max": "*",
"id": "Composition.section:healthState.section:skin.entry:skinDisorder",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "Wound",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-1022",
"comment": "Wond",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Wound"
} ],
"sliceName": "wound",
"max": "*",
"id": "Composition.section:healthState.section:skin.entry:wound",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "A reference to data that supports this section",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/WoundCharacteristics"
} ],
"sliceName": "woundCharacteristics",
"max": "*",
"id": "Composition.section:healthState.section:skin.entry:woundCharacteristics",
"condition": [ "ele-1", "cmp-2" ],
"comment": "Note: this profile is to be used together with the zib-Wound and zib-PressureUlcer profiles.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "A reference to data that supports this section",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-1035",
"comment": "Drain",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Wound-MedicalDevice"
} ],
"sliceName": "woundDrain",
"max": "*",
"id": "Composition.section:healthState.section:skin.entry:woundDrain",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.emptyReason",
"requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
"min": 0,
"definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"short": "Why the section is empty",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEmptyReason"
} ],
"description": "If a section is empty, why it is empty.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"max": "1",
"id": "Composition.section:healthState.section:skin.emptyReason",
"condition": [ "ele-1", "cmp-2" ],
"comment": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.emptyReason"
}
}, {
"path": "Composition.section.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Nested Section",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
} ],
"contentReference": "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
"max": "0",
"id": "Composition.section:healthState.section:skin.section",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"path": "Composition.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Senses",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-1053",
"comment": "Zintuigen",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"sliceName": "senses",
"max": "1",
"id": "Composition.section:healthState.section:senses",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Composition.section:healthState.section:senses.id",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings may not exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Composition.section:healthState.section:senses.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Composition.section:healthState.section:senses.modifierExtension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.title",
"requirements": "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"min": 0,
"definition": "The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.",
"short": "Label for section (e.g. for ToC)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "./title",
"identity": "rim"
}, {
"map": ".title",
"identity": "cda"
} ],
"type": [ {
"code": "string"
} ],
"alias": [ "header", "label", "caption" ],
"max": "1",
"id": "Composition.section:healthState.section:senses.title",
"condition": [ "ele-1" ],
"comment": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
"defaultValueString": "Senses",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.title"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.code",
"requirements": "Provides computable standardized labels to topics within the document.",
"min": 1,
"definition": "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
"short": "Classification of section (recommended)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": "./code",
"identity": "rim"
}, {
"map": ".code",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CompositionSectionType"
} ],
"description": "Classification of a section of a composition/document.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"max": "1",
"id": "Composition.section:healthState.section:senses.code",
"condition": [ "ele-1" ],
"comment": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
"patternCodeableConcept": {
"coding": [ {
"code": "106147001",
"system": "http://snomed.info/sct"
} ]
},
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.code"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.text",
"min": 0,
"definition": "A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative.",
"short": "Text summary of the section, for human interpretation",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
}, {
"map": ".text",
"identity": "rim"
}, {
"map": ".text",
"identity": "cda"
} ],
"type": [ {
"code": "Narrative"
} ],
"max": "1",
"id": "Composition.section:healthState.section:senses.text",
"condition": [ "ele-1", "cmp-1" ],
"comment": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.text"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.mode",
"requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min": 0,
"definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"isModifier": true,
"short": "working | snapshot | changes",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
}, {
"map": "class",
"identity": "w5"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionMode"
} ],
"description": "The processing mode that applies to this section.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"max": "1",
"id": "Composition.section:healthState.section:senses.mode",
"condition": [ "ele-1" ],
"comment": "This element is labeled as a modifier because a change list must not be mis-understood as a complete list.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.mode"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.orderedBy",
"requirements": "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min": 0,
"definition": "Specifies the order applied to the items in the section entries.",
"short": "Order of section entries",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEntryOrder"
} ],
"description": "What order applies to the items in the entry.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-order"
}
},
"max": "1",
"id": "Composition.section:healthState.section:senses.orderedBy",
"condition": [ "ele-1" ],
"comment": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.orderedBy"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "A reference to data that supports this section",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
} ],
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "resolve()",
"type": "profile"
} ]
},
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
} ],
"max": "*",
"id": "Composition.section:healthState.section:senses.entry",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "Hearing Function",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-1054",
"comment": "FunctieHoren",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-HearingFunction"
} ],
"sliceName": "hearingFunction",
"max": "1",
"id": "Composition.section:healthState.section:senses.entry:hearingFunction",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "A reference to data that supports this section",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-1056",
"comment": "FunctieHoren:HorenHulpmiddel",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-HearingFunction-HearingAid"
} ],
"sliceName": "hearingFunction-HearingAid",
"max": "*",
"id": "Composition.section:healthState.section:senses.entry:hearingFunction-HearingAid",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "Visual Function",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-1073",
"comment": "FunctieZien",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-VisualFunction"
} ],
"sliceName": "visualFunction",
"max": "1",
"id": "Composition.section:healthState.section:senses.entry:visualFunction",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "A reference to data that supports this section",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-1075",
"comment": "FunctieZien:ZienHulpmiddel",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-VisualFunction-VisualAid"
} ],
"sliceName": "visualFunction-VisualAid",
"max": "*",
"id": "Composition.section:healthState.section:senses.entry:visualFunction-VisualAid",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.emptyReason",
"requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
"min": 0,
"definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"short": "Why the section is empty",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEmptyReason"
} ],
"description": "If a section is empty, why it is empty.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"max": "1",
"id": "Composition.section:healthState.section:senses.emptyReason",
"condition": [ "ele-1", "cmp-2" ],
"comment": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.emptyReason"
}
}, {
"path": "Composition.section.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Nested Section",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
} ],
"contentReference": "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
"max": "0",
"id": "Composition.section:healthState.section:senses.section",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"path": "Composition.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Illness Perception",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-1092",
"comment": "Ziektebeleving",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"sliceName": "illnessPerception",
"max": "1",
"id": "Composition.section:healthState.section:illnessPerception",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Composition.section:healthState.section:illnessPerception.id",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings may not exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Composition.section:healthState.section:illnessPerception.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Composition.section:healthState.section:illnessPerception.modifierExtension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.title",
"requirements": "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"min": 0,
"definition": "The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.",
"short": "Label for section (e.g. for ToC)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "./title",
"identity": "rim"
}, {
"map": ".title",
"identity": "cda"
} ],
"type": [ {
"code": "string"
} ],
"alias": [ "header", "label", "caption" ],
"max": "1",
"id": "Composition.section:healthState.section:illnessPerception.title",
"condition": [ "ele-1" ],
"comment": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
"defaultValueString": "Illness perception",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.title"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.code",
"requirements": "Provides computable standardized labels to topics within the document.",
"min": 1,
"definition": "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
"short": "Classification of section (recommended)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": "./code",
"identity": "rim"
}, {
"map": ".code",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CompositionSectionType"
} ],
"description": "Classification of a section of a composition/document.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"max": "1",
"id": "Composition.section:healthState.section:illnessPerception.code",
"condition": [ "ele-1" ],
"comment": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
"patternCodeableConcept": {
"coding": [ {
"code": "284465006",
"system": "http://snomed.info/sct"
} ]
},
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.code"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.text",
"min": 0,
"definition": "A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative.",
"short": "Text summary of the section, for human interpretation",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
}, {
"map": ".text",
"identity": "rim"
}, {
"map": ".text",
"identity": "cda"
} ],
"type": [ {
"code": "Narrative"
} ],
"max": "1",
"id": "Composition.section:healthState.section:illnessPerception.text",
"condition": [ "ele-1", "cmp-1" ],
"comment": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.text"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.mode",
"requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min": 0,
"definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"isModifier": true,
"short": "working | snapshot | changes",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
}, {
"map": "class",
"identity": "w5"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionMode"
} ],
"description": "The processing mode that applies to this section.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"max": "1",
"id": "Composition.section:healthState.section:illnessPerception.mode",
"condition": [ "ele-1" ],
"comment": "This element is labeled as a modifier because a change list must not be mis-understood as a complete list.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.mode"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.orderedBy",
"requirements": "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min": 0,
"definition": "Specifies the order applied to the items in the section entries.",
"short": "Order of section entries",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEntryOrder"
} ],
"description": "What order applies to the items in the entry.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-order"
}
},
"max": "1",
"id": "Composition.section:healthState.section:illnessPerception.orderedBy",
"condition": [ "ele-1" ],
"comment": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.orderedBy"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 1,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "A reference to data that supports this section",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-1093",
"comment": "Ziektebeleving",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-IllnessPerception"
} ],
"max": "1",
"id": "Composition.section:healthState.section:illnessPerception.entry",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.emptyReason",
"requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
"min": 0,
"definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"short": "Why the section is empty",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEmptyReason"
} ],
"description": "If a section is empty, why it is empty.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"max": "1",
"id": "Composition.section:healthState.section:illnessPerception.emptyReason",
"condition": [ "ele-1", "cmp-2" ],
"comment": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.emptyReason"
}
}, {
"path": "Composition.section.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Nested Section",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
} ],
"contentReference": "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
"max": "0",
"id": "Composition.section:healthState.section:illnessPerception.section",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"path": "Composition.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Mental Status",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-1097",
"comment": "Mentale status",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"sliceName": "mentalStatus",
"max": "1",
"id": "Composition.section:healthState.section:mentalStatus",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Composition.section:healthState.section:mentalStatus.id",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings may not exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Composition.section:healthState.section:mentalStatus.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Composition.section:healthState.section:mentalStatus.modifierExtension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.title",
"requirements": "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"min": 0,
"definition": "The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.",
"short": "Label for section (e.g. for ToC)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "./title",
"identity": "rim"
}, {
"map": ".title",
"identity": "cda"
} ],
"type": [ {
"code": "string"
} ],
"alias": [ "header", "label", "caption" ],
"max": "1",
"id": "Composition.section:healthState.section:mentalStatus.title",
"condition": [ "ele-1" ],
"comment": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
"defaultValueString": "Mental status",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.title"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.code",
"requirements": "Provides computable standardized labels to topics within the document.",
"min": 1,
"definition": "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
"short": "Classification of section (recommended)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": "./code",
"identity": "rim"
}, {
"map": ".code",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CompositionSectionType"
} ],
"description": "Classification of a section of a composition/document.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"max": "1",
"id": "Composition.section:healthState.section:mentalStatus.code",
"condition": [ "ele-1" ],
"comment": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
"patternCodeableConcept": {
"coding": [ {
"code": "36456004",
"system": "http://snomed.info/sct"
} ]
},
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.code"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.text",
"min": 0,
"definition": "A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative.",
"short": "Text summary of the section, for human interpretation",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
}, {
"map": ".text",
"identity": "rim"
}, {
"map": ".text",
"identity": "cda"
} ],
"type": [ {
"code": "Narrative"
} ],
"max": "1",
"id": "Composition.section:healthState.section:mentalStatus.text",
"condition": [ "ele-1", "cmp-1" ],
"comment": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.text"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.mode",
"requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min": 0,
"definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"isModifier": true,
"short": "working | snapshot | changes",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
}, {
"map": "class",
"identity": "w5"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionMode"
} ],
"description": "The processing mode that applies to this section.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"max": "1",
"id": "Composition.section:healthState.section:mentalStatus.mode",
"condition": [ "ele-1" ],
"comment": "This element is labeled as a modifier because a change list must not be mis-understood as a complete list.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.mode"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.orderedBy",
"requirements": "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min": 0,
"definition": "Specifies the order applied to the items in the section entries.",
"short": "Order of section entries",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEntryOrder"
} ],
"description": "What order applies to the items in the entry.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-order"
}
},
"max": "1",
"id": "Composition.section:healthState.section:mentalStatus.orderedBy",
"condition": [ "ele-1" ],
"comment": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.orderedBy"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 1,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "A reference to data that supports this section",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-1098",
"comment": "Mentale status::Probleem",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Problem"
} ],
"max": "*",
"id": "Composition.section:healthState.section:mentalStatus.entry",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.emptyReason",
"requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
"min": 0,
"definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"short": "Why the section is empty",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEmptyReason"
} ],
"description": "If a section is empty, why it is empty.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"max": "1",
"id": "Composition.section:healthState.section:mentalStatus.emptyReason",
"condition": [ "ele-1", "cmp-2" ],
"comment": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.emptyReason"
}
}, {
"path": "Composition.section.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Nested Section",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
} ],
"contentReference": "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
"max": "0",
"id": "Composition.section:healthState.section:mentalStatus.section",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"path": "Composition.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Reproduction",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-1119",
"comment": "Voortplanting",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"sliceName": "reproduction",
"max": "1",
"id": "Composition.section:healthState.section:reproduction",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Composition.section:healthState.section:reproduction.id",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings may not exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Composition.section:healthState.section:reproduction.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Composition.section.section.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Composition.section:healthState.section:reproduction.modifierExtension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.title",
"requirements": "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"min": 0,
"definition": "The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.",
"short": "Label for section (e.g. for ToC)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "./title",
"identity": "rim"
}, {
"map": ".title",
"identity": "cda"
} ],
"type": [ {
"code": "string"
} ],
"alias": [ "header", "label", "caption" ],
"max": "1",
"id": "Composition.section:healthState.section:reproduction.title",
"condition": [ "ele-1" ],
"comment": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
"defaultValueString": "Reproduction",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.title"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.code",
"requirements": "Provides computable standardized labels to topics within the document.",
"min": 1,
"definition": "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
"short": "Classification of section (recommended)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": "./code",
"identity": "rim"
}, {
"map": ".code",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CompositionSectionType"
} ],
"description": "Classification of a section of a composition/document.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"max": "1",
"id": "Composition.section:healthState.section:reproduction.code",
"condition": [ "ele-1" ],
"comment": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
"patternCodeableConcept": {
"coding": [ {
"code": "118232004",
"system": "http://snomed.info/sct"
} ]
},
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.code"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.text",
"min": 0,
"definition": "A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative.",
"short": "Text summary of the section, for human interpretation",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
}, {
"map": ".text",
"identity": "rim"
}, {
"map": ".text",
"identity": "cda"
} ],
"type": [ {
"code": "Narrative"
} ],
"max": "1",
"id": "Composition.section:healthState.section:reproduction.text",
"condition": [ "ele-1", "cmp-1" ],
"comment": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.text"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.mode",
"requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min": 0,
"definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"isModifier": true,
"short": "working | snapshot | changes",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
}, {
"map": "class",
"identity": "w5"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionMode"
} ],
"description": "The processing mode that applies to this section.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"max": "1",
"id": "Composition.section:healthState.section:reproduction.mode",
"condition": [ "ele-1" ],
"comment": "This element is labeled as a modifier because a change list must not be mis-understood as a complete list.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.mode"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.orderedBy",
"requirements": "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min": 0,
"definition": "Specifies the order applied to the items in the section entries.",
"short": "Order of section entries",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEntryOrder"
} ],
"description": "What order applies to the items in the entry.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-order"
}
},
"max": "1",
"id": "Composition.section:healthState.section:reproduction.orderedBy",
"condition": [ "ele-1" ],
"comment": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.orderedBy"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
} ],
"path": "Composition.section.section.entry",
"min": 1,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "A reference to data that supports this section",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
}, {
"map": "e-overdracht-dataelement-v4-1120",
"comment": "Zwangerschap",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Pregnancy"
}, {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Pregnancy-PregnancyStatus"
}, {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Pregnancy-TermDate"
}, {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Pregnancy-PregnancyDuration"
}, {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Pregnancy-Parity"
}, {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Pregnancy-Gravidity"
}, {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Pregnancy-DateLastMenstruation"
} ],
"max": "*",
"id": "Composition.section:healthState.section:reproduction.entry",
"condition": [ "ele-1", "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.section.section.emptyReason",
"requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
"min": 0,
"definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"short": "Why the section is empty",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEmptyReason"
} ],
"description": "If a section is empty, why it is empty.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"max": "1",
"id": "Composition.section:healthState.section:reproduction.emptyReason",
"condition": [ "ele-1", "cmp-2" ],
"comment": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.emptyReason"
}
}, {
"path": "Composition.section.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Nested Section",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
} ],
"contentReference": "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
"max": "0",
"id": "Composition.section:healthState.section:reproduction.section",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
} ]
},
"status": "active",
"id": "ca4d22e6-1e96-4443-a331-3eb9785d74b9",
"kind": "resource",
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"sliceName": "selfCare"
}, {
"id": "Composition.section:healthState.section:selfCare.extension",
"min": 0,
"path": "Composition.section.section.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "Composition.section:healthState.section:selfCare.extension:commentOnSelfCare",
"max": "1",
"min": 0,
"path": "Composition.section.section.extension",
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/eOverdracht-CommentOnSelfCare"
} ],
"sliceName": "commentOnSelfCare"
}, {
"id": "Composition.section:healthState.section:selfCare.extension:commentOnSelfCare.valueString:valueString",
"path": "Composition.section.section.extension.valueString",
"mapping": [ {
"map": "e-overdracht-dataelement-v4-762",
"comment": "Toelichting zelfzorg",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"sliceName": "valueString"
}, {
"id": "Composition.section:healthState.section:selfCare.title",
"path": "Composition.section.section.title",
"defaultValueString": "Self care"
}, {
"id": "Composition.section:healthState.section:selfCare.code",
"min": 1,
"path": "Composition.section.section.code",
"patternCodeableConcept": {
"coding": [ {
"code": "365178001",
"system": "http://snomed.info/sct"
} ]
}
}, {
"id": "Composition.section:healthState.section:selfCare.entry",
"path": "Composition.section.section.entry",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "resolve()",
"type": "profile"
} ]
}
}, {
"id": "Composition.section:healthState.section:selfCare.entry:abilityToDrink",
"path": "Composition.section.section.entry",
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-AbilityToDrink"
} ],
"short": "Ability To Drink",
"mapping": [ {
"map": "e-overdracht-dataelement-v4-646",
"comment": "VermogenTotDrinken",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"sliceName": "abilityToDrink"
}, {
"id": "Composition.section:healthState.section:selfCare.entry:abilityToEat",
"path": "Composition.section.section.entry",
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-AbilityToEat"
} ],
"short": "Ability To Eat",
"mapping": [ {
"map": "e-overdracht-dataelement-v4-649",
"comment": "VermogenTotEten",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"sliceName": "abilityToEat"
}, {
"id": "Composition.section:healthState.section:selfCare.entry:abilityToPerformMouthcareActivities",
"max": "1",
"path": "Composition.section.section.entry",
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-AbilityToPerformMouthcareActivities"
} ],
"short": "Ability To Perform Mouthcare Activities",
"mapping": [ {
"map": "e-overdracht-dataelement-v4-652",
"comment": "VermogenTotMondVerzorging",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"sliceName": "abilityToPerformMouthcareActivities"
}, {
"id": "Composition.section:healthState.section:selfCare.entry:abilityToPerformMouthcareActivities-Prosthesis",
"path": "Composition.section.section.entry",
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-AbilityToPerformMouthcareActivities-MedicalDevice"
} ],
"mapping": [ {
"map": "e-overdracht-dataelement-v4-654",
"comment": "VermogenTotMonderverzorging:Prothese",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"sliceName": "abilityToPerformMouthcareActivities-Prosthesis"
}, {
"id": "Composition.section:healthState.section:selfCare.entry:abilityToWashOneSelf",
"path": "Composition.section.section.entry",
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-AbilityToWashOneSelf"
} ],
"short": "Ability To Wash One Self",
"mapping": [ {
"map": "e-overdracht-dataelement-v4-670",
"comment": "VermogenTotWassen",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"sliceName": "abilityToWashOneSelf"
}, {
"id": "Composition.section:healthState.section:selfCare.entry:abilityToDressOneSelf",
"path": "Composition.section.section.entry",
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-AbilityToDressOneself"
} ],
"short": "Ability To Dress One Self",
"mapping": [ {
"map": "e-overdracht-dataelement-v4-673",
"comment": "VermogenTotKleden",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"sliceName": "abilityToDressOneSelf"
}, {
"id": "Composition.section:healthState.section:selfCare.entry:abilityToGroome",
"max": "1",
"path": "Composition.section.section.entry",
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-AbilityToGroome"
} ],
"short": "Ability To Groome",
"mapping": [ {
"map": "e-overdracht-dataelement-v4-676",
"comment": "VermogenTotUiterlijkeVerzorging",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"sliceName": "abilityToGroome"
}, {
"id": "Composition.section:healthState.section:selfCare.entry:abilityToUseToilet",
"max": "1",
"path": "Composition.section.section.entry",
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-AbilityToUseToilet"
} ],
"short": "Ability To Use Toilet",
"mapping": [ {
"map": "e-overdracht-dataelement-v4-678",
"comment": "VermogenTotToiletgang",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"sliceName": "abilityToUseToilet"
}, {
"id": "Composition.section:healthState.section:selfCare.entry:abilityToManageMedication",
"max": "1",
"path": "Composition.section.section.entry",
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-AbilityToManageMedication"
} ],
"short": "Ability To Manage Medication",
"mapping": [ {
"map": "e-overdracht-dataelement-v4-681",
"comment": "VermogenTotZelfstandigMedicatieGebruik",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"sliceName": "abilityToManageMedication"
}, {
"id": "Composition.section:healthState.section:selfCare.entry:AbilityToPerformNursingActivities",
"path": "Composition.section.section.entry",
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-AbilityToPerformNursingActivities"
} ],
"short": "Ability To Perform Nursing Activities",
"mapping": [ {
"map": "e-overdracht-dataelement-v4-685",
"comment": "VermogenTotVerpleegtechnischeHandelingen",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"sliceName": "AbilityToPerformNursingActivities"
}, {
"id": "Composition.section:healthState.section:selfCare.entry:medicalDevice",
"path": "Composition.section.section.entry",
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDevice"
} ],
"short": "MedicalDevice",
"mapping": [ {
"map": "e-overdracht-dataelement-v4-704",
"comment": "MedischHulpmiddel",
"identity": "eOverdracht-NursingHandoff-Adults"
}, {
"map": "e-overdracht-dataelement-v4-1602",
"comment": "MedischHulpmiddel",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"sliceName": "medicalDevice",
"definition": "Use this slice to register zib MedicalDevice used in the instances of zib NursingIntervention resulting from zib AbilityToPerformNursingActivities and zib AbilityToManageMedication"
}, {
"id": "Composition.section:healthState.section:mobility",
"max": "1",
"path": "Composition.section.section",
"short": "Mobility",
"mapping": [ {
"map": "e-overdracht-dataelement-v4-763",
"comment": "Mobiliteit",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"sliceName": "mobility"
}, {
"id": "Composition.section:healthState.section:mobility.title",
"path": "Composition.section.section.title",
"defaultValueString": "Mobility"
}, {
"id": "Composition.section:healthState.section:mobility.code",
"min": 1,
"path": "Composition.section.section.code",
"patternCodeableConcept": {
"coding": [ {
"code": "364832000",
"system": "http://snomed.info/sct"
} ]
}
}, {
"id": "Composition.section:healthState.section:mobility.entry",
"min": 1,
"path": "Composition.section.section.entry",
"type": [ {
"code": "Reference"
} ],
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "resolve()",
"type": "profile"
} ]
}
}, {
"id": "Composition.section:healthState.section:mobility.entry:mobility",
"max": "1",
"min": 1,
"path": "Composition.section.section.entry",
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Mobility"
} ],
"short": "Mobility",
"mapping": [ {
"map": "e-overdracht-dataelement-v4-764",
"comment": "Mobiliteit",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"sliceName": "mobility"
}, {
"id": "Composition.section:healthState.section:mobility.entry:medicalDevice",
"path": "Composition.section.section.entry",
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDevice"
} ],
"short": "Medical Device",
"mapping": [ {
"map": "e-overdracht-dataelement-v4-770",
"comment": "MedischHulpmiddel",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"sliceName": "medicalDevice"
}, {
"id": "Composition.section:healthState.section:mobility.section",
"max": "0",
"path": "Composition.section.section.section"
}, {
"id": "Composition.section:healthState.section:nutritionOrFluid",
"max": "1",
"path": "Composition.section.section",
"short": "Nutrition or fluid",
"mapping": [ {
"map": "e-overdracht-dataelement-v4-787",
"comment": "Voeding/vocht",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"sliceName": "nutritionOrFluid"
}, {
"id": "Composition.section:healthState.section:nutritionOrFluid.title",
"path": "Composition.section.section.title",
"defaultValueString": "Nutrition or fluid"
}, {
"id": "Composition.section:healthState.section:nutritionOrFluid.code",
"min": 1,
"path": "Composition.section.section.code",
"patternCodeableConcept": {
"coding": [ {
"code": "300893006",
"system": "http://snomed.info/sct"
} ]
}
}, {
"id": "Composition.section:healthState.section:nutritionOrFluid.entry",
"path": "Composition.section.section.entry",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "resolve()",
"type": "profile"
} ]
}
}, {
"id": "Composition.section:healthState.section:nutritionOrFluid.entry:nutritionAdvice",
"path": "Composition.section.section.entry",
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-NutritionAdvice"
} ],
"short": "Nutrition Advice",
"mapping": [ {
"map": "e-overdracht-dataelement-v4-788",
"comment": "Voedingsadvies",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"sliceName": "nutritionAdvice"
}, {
"id": "Composition.section:healthState.section:nutritionOrFluid.entry:SNAQScore",
"max": "1",
"path": "Composition.section.section.entry",
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-SNAQScore"
} ],
"short": "SNAQScore",
"mapping": [ {
"map": "e-overdracht-dataelement-v4-802",
"comment": "SNAQScore",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"sliceName": "SNAQScore"
}, {
"id": "Composition.section:healthState.section:nutritionOrFluid.entry:SNAQrcScore",
"max": "1",
"path": "Composition.section.section.entry",
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-SNAQrcScore"
} ],
"short": "SNAQrcScore",
"mapping": [ {
"map": "e-overdracht-dataelement-v4-809",
"comment": "SNAQrcScore",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"sliceName": "SNAQrcScore"
}, {
"id": "Composition.section:healthState.section:nutritionOrFluid.entry:SNAQ65plusScore",
"max": "1",
"path": "Composition.section.section.entry",
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-SNAQ65plusScore"
} ],
"short": "SNAQ65plusScore",
"mapping": [ {
"map": "e-overdracht-dataelement-v4-817",
"comment": "SNAQ65+Score",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"sliceName": "SNAQ65plusScore"
}, {
"id": "Composition.section:healthState.section:nutritionOrFluid.entry:MUSTScore",
"max": "1",
"path": "Composition.section.section.entry",
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-MUSTScore"
} ],
"short": "MUSTScore",
"mapping": [ {
"map": "e-overdracht-dataelement-v4-825",
"comment": "MUSTScore",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"sliceName": "MUSTScore"
}, {
"id": "Composition.section:healthState.section:nutritionOrFluid.entry:fluidBalance",
"max": "1",
"path": "Composition.section.section.entry",
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-FluidBalance"
} ],
"short": "Fluid Balance",
"mapping": [ {
"map": "e-overdracht-dataelement-v4-840",
"comment": "Vochtbalans",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"sliceName": "fluidBalance"
}, {
"id": "Composition.section:healthState.section:nutritionOrFluid.entry:feedingTubeSystem",
"path": "Composition.section.section.entry",
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-FeedingTubeSystem"
} ],
"short": "Feeding Tube System",
"mapping": [ {
"map": "e-overdracht-dataelement-v4-846",
"comment": "SondeSysteem",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"sliceName": "feedingTubeSystem"
}, {
"id": "Composition.section:healthState.section:nutritionOrFluid.entry:infusion",
"path": "Composition.section.section.entry",
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Infusion"
} ],
"short": "Infusion",
"mapping": [ {
"map": "e-overdracht-dataelement-v4-883",
"comment": "Infuus",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"sliceName": "infusion"
}, {
"id": "Composition.section:healthState.section:excretion",
"path": "Composition.section.section",
"short": "Excretion",
"mapping": [ {
"map": "e-overdracht-dataelement-v4-937",
"comment": "Uitscheiding",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"sliceName": "excretion"
}, {
"id": "Composition.section:healthState.section:excretion.title",
"path": "Composition.section.section.title",
"defaultValueString": "Excretion"
}, {
"id": "Composition.section:healthState.section:excretion.code",
"min": 1,
"path": "Composition.section.section.code",
"patternCodeableConcept": {
"coding": [ {
"code": "106019003",
"system": "http://snomed.info/sct"
} ]
}
}, {
"id": "Composition.section:healthState.section:excretion.entry",
"path": "Composition.section.section.entry",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "resolve()",
"type": "profile"
} ]
}
}, {
"id": "Composition.section:healthState.section:excretion.entry:bladderFunction",
"max": "1",
"path": "Composition.section.section.entry",
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-BladderFunction"
} ],
"short": "Bladder Function",
"mapping": [ {
"map": "e-overdracht-dataelement-v4-938",
"comment": "Blaasfunctie",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"sliceName": "bladderFunction"
}, {
"id": "Composition.section:healthState.section:excretion.entry:bladderFunction-UrineCatheter",
"path": "Composition.section.section.entry",
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-BladderFunction-UrineCatheter"
} ],
"mapping": [ {
"map": "e-overdracht-dataelement-v4-943",
"comment": "MedischHulpmiddel",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"sliceName": "bladderFunction-UrineCatheter"
}, {
"id": "Composition.section:healthState.section:excretion.entry:bowelFunction",
"max": "1",
"path": "Composition.section.section.entry",
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-BowelFunction"
} ],
"short": "Bowel Function",
"mapping": [ {
"map": "e-overdracht-dataelement-v4-975",
"comment": "Darmfunctie",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"sliceName": "bowelFunction"
}, {
"id": "Composition.section:healthState.section:excretion.entry:stoma",
"path": "Composition.section.section.entry",
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Stoma"
} ],
"short": "Stoma",
"mapping": [ {
"map": "e-overdracht-dataelement-v4-985",
"comment": "Stoma",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"sliceName": "stoma"
}, {
"id": "Composition.section:healthState.section:excretion.entry:medicalDevice",
"path": "Composition.section.section.entry",
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDevice"
} ],
"short": "Medical Device",
"mapping": [ {
"map": "e-overdracht-dataelement-v4-983",
"comment": "MedischHulpmiddel",
"identity": "eOverdracht-NursingHandoff-Adults"
}, {
"map": "e-overdracht-dataelement-v4-988",
"comment": "MedischHulpmiddel",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"sliceName": "medicalDevice",
"definition": "Used for the MedicalDevice relating to zib BowelFunction and zib Stoma."
}, {
"id": "Composition.section:healthState.section:excretion.section",
"max": "0",
"path": "Composition.section.section.section"
}, {
"id": "Composition.section:healthState.section:skin",
"max": "1",
"path": "Composition.section.section",
"short": "Skin",
"mapping": [ {
"map": "e-overdracht-dataelement-v4-993",
"comment": "Huid",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"sliceName": "skin"
}, {
"id": "Composition.section:healthState.section:skin.title",
"path": "Composition.section.section.title",
"defaultValueString": "Skin"
}, {
"id": "Composition.section:healthState.section:skin.code",
"min": 1,
"path": "Composition.section.section.code",
"patternCodeableConcept": {
"coding": [ {
"code": "106076001",
"system": "http://snomed.info/sct"
} ]
}
}, {
"id": "Composition.section:healthState.section:skin.entry",
"path": "Composition.section.section.entry",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "resolve()",
"type": "profile"
} ]
}
}, {
"id": "Composition.section:healthState.section:skin.entry:burnWound",
"path": "Composition.section.section.entry",
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-BurnWound"
} ],
"short": "Burn Wound",
"mapping": [ {
"map": "e-overdracht-dataelement-v4-994",
"comment": "BrandWond",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"sliceName": "burnWound"
}, {
"id": "Composition.section:healthState.section:skin.entry:pressureUlcer",
"path": "Composition.section.section.entry",
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-PressureUlcer"
} ],
"short": "Pressure Ulcer",
"mapping": [ {
"map": "e-overdracht-dataelement-v4-1003",
"comment": "DecubitusWond",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"sliceName": "pressureUlcer"
}, {
"id": "Composition.section:healthState.section:skin.entry:skinDisorder",
"path": "Composition.section.section.entry",
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-SkinDisorder"
} ],
"short": "Skin Disorder",
"mapping": [ {
"map": "e-overdracht-dataelement-v4-1014",
"comment": "Huidaandoening",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"sliceName": "skinDisorder"
}, {
"id": "Composition.section:healthState.section:skin.entry:wound",
"path": "Composition.section.section.entry",
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Wound"
} ],
"short": "Wound",
"mapping": [ {
"map": "e-overdracht-dataelement-v4-1022",
"comment": "Wond",
"identity": "eOverdracht-NursingHandoff-Adults"
} ],
"sliceName": "wound"
}, {
"id": "Composition.section:healthState.section:skin.entry:woundCharacteristics",
"path": "Composition.section.section.entry",
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/WoundCharacteristics"
} ],
"comment": "Note: this profile is to be used together with the zib-Wound and zib-PressureUlcer profiles.",
"sliceName": "woundCharacteristics"
}, {
"id": "Composition.section:healthState.section:skin.entry:woundDrain",
"path": "Composition.section.section.entry",
"type": [ {
"code": "Reference",
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