description: Clinical document used to represent the International Patient Summary (IPS) data set. The IPS dataset is a minimal and non-exhaustive patient summary dataset, specialty-agnostic, condition-independent, but readily usable by clinicians for the cross-border unscheduled care of a patient.\r\n\r\nThis profile is based on the ClinicalDocument profile
package_name: hl7.fhir.uv.ips
derivation: constraint
name: CompositionUvIps
type: Composition
elements:
  date: {mustSupport: true, index: 10}
  meta: {mustSupport: true, index: 1}
  encounter:
    elements:
      reference: {mustSupport: true, index: 9}
  section:
    short: Sections composing the IPS
    mustSupport: true
    index: 32
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: code, type: pattern}
      min: 1
      slices:
        sectionProblems:
          match:
            code:
              coding:
              - {code: 11450-4, system: 'http://loinc.org'}
          schema:
            short: IPS Problems Section
            mustSupport: true
            _required: true
            index: 49
            elements:
              title: {mustSupport: true, index: 50}
              code:
                type: CodeableConcept
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 11450-4, system: 'http://loinc.org'}
                index: 51
              text: {type: Narrative, mustSupport: true, index: 52}
              entry:
                short: Clinical problems or conditions currently being monitored for the patient.
                mustSupport: true
                index: 53
                slicing:
                  rules: open
                  discriminator:
                  - {path: resolve(), type: profile}
                  min: 1
                  slices:
                    problem:
                      match: {}
                      schema:
                        type: Reference
                        mustSupport: true
                        refers: ['http://hl7.org/fhir/uv/ips/StructureDefinition/Condition-uv-ips']
                        _required: true
                        index: 54
                      min: 1
              emptyReason: {mustSupport: false, index: 55}
              section: {mustSupport: false, index: 56}
            required: [entry, text, title, code]
        sectionProceduresHx:
          match:
            code:
              coding:
              - {code: 47519-4, system: 'http://loinc.org'}
          schema:
            short: IPS History of Procedures Section
            mustSupport: true
            index: 57
            elements:
              title: {mustSupport: true, index: 58}
              code:
                type: CodeableConcept
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 47519-4, system: 'http://loinc.org'}
                index: 59
              text: {type: Narrative, mustSupport: true, index: 60}
              entry:
                short: Patient past procedures pertinent to the scope of this document.
                mustSupport: true
                index: 61
                slicing:
                  rules: open
                  discriminator:
                  - {path: resolve(), type: profile}
                  min: 1
                  slices:
                    procedure:
                      match: {}
                      schema:
                        type: Reference
                        mustSupport: true
                        refers: ['http://hl7.org/fhir/uv/ips/StructureDefinition/Procedure-uv-ips']
                        _required: true
                        index: 62
                      min: 1
              emptyReason: {mustSupport: false, index: 63}
              section: {mustSupport: false, index: 64}
            required: [entry, text, title, code]
        sectionPlanOfCare:
          match:
            code:
              coding:
              - {code: 18776-5, system: 'http://loinc.org'}
          schema:
            short: IPS Plan of Care Section
            mustSupport: true
            index: 118
            elements:
              title: {mustSupport: true, index: 119}
              code:
                type: CodeableConcept
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 18776-5, system: 'http://loinc.org'}
                index: 120
              text: {type: Narrative, mustSupport: true, index: 121}
              emptyReason: {mustSupport: false, index: 122}
              section: {mustSupport: false, index: 123}
            required: [text, title, code]
        sectionMedicalDevices:
          match:
            code:
              coding:
              - {code: 46264-8, system: 'http://loinc.org'}
          schema:
            short: IPS Medical Devices Section
            mustSupport: true
            index: 73
            elements:
              title: {mustSupport: true, index: 74}
              code:
                type: CodeableConcept
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 46264-8, system: 'http://loinc.org'}
                index: 75
              text: {type: Narrative, mustSupport: true, index: 76}
              entry:
                short: Patient history of medical device use.
                mustSupport: true
                index: 77
                slicing:
                  rules: open
                  discriminator:
                  - {path: resolve(), type: profile}
                  min: 1
                  slices:
                    deviceStatement:
                      match: {}
                      schema:
                        type: Reference
                        mustSupport: true
                        refers: ['http://hl7.org/fhir/uv/ips/StructureDefinition/DeviceUseStatement-uv-ips']
                        _required: true
                        index: 78
                      min: 1
              emptyReason: {mustSupport: false, index: 79}
              section: {mustSupport: false, index: 80}
            required: [entry, text, title, code]
        sectionSocialHistory:
          match:
            code:
              coding:
              - {code: 29762-2, system: 'http://loinc.org'}
          schema:
            short: IPS Social History Section
            mustSupport: true
            index: 124
            elements:
              title: {mustSupport: true, index: 125}
              code:
                type: CodeableConcept
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 29762-2, system: 'http://loinc.org'}
                index: 126
              text: {mustSupport: true, index: 127}
              entry:
                short: Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.)
                mustSupport: true
                index: 128
                slicing:
                  rules: open
                  discriminator:
                  - {path: resolve(), type: profile}
                  min: null
                  slices:
                    smokingTobaccoUse:
                      match: {}
                      schema:
                        type: Reference
                        mustSupport: true
                        refers: ['http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-tobaccouse-uv-ips']
                        index: 129
                      max: 1
                    alcoholUse:
                      match: {}
                      schema:
                        type: Reference
                        mustSupport: true
                        refers: ['http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-alcoholuse-uv-ips']
                        index: 130
                      max: 1
              emptyReason: {mustSupport: false, index: 131}
              section: {mustSupport: false, index: 132}
            required: [text, title, code]
        sectionFunctionalStatus:
          match:
            code:
              coding:
              - {code: 47420-5, system: 'http://loinc.org'}
          schema:
            short: IPS Functional Status
            mustSupport: true
            index: 109
            elements:
              title: {mustSupport: true, index: 110}
              code:
                type: CodeableConcept
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 47420-5, system: 'http://loinc.org'}
                index: 111
              text: {type: Narrative, mustSupport: true, index: 112}
              entry:
                short: Optional entry used to represent disabilities and functional assessments
                mustSupport: true
                index: 113
                slicing:
                  rules: open
                  discriminator:
                  - {path: resolve(), type: profile}
                  min: null
                  slices:
                    disability:
                      match: {}
                      schema:
                        type: Reference
                        mustSupport: true
                        refers: ['http://hl7.org/fhir/uv/ips/StructureDefinition/Condition-uv-ips']
                        index: 114
                    functionalAssessment:
                      match: {}
                      schema:
                        type: Reference
                        mustSupport: true
                        refers: ['http://hl7.org/fhir/StructureDefinition/ClinicalImpression']
                        index: 115
              emptyReason: {mustSupport: false, index: 116}
              section: {mustSupport: false, index: 117}
            required: [text, title, code]
        sectionAllergies:
          match:
            code:
              coding:
              - {code: 48765-2, system: 'http://loinc.org'}
          schema:
            short: IPS Allergies and Intolerances Section
            mustSupport: true
            _required: true
            index: 41
            elements:
              title: {mustSupport: true, index: 42}
              code:
                type: CodeableConcept
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 48765-2, system: 'http://loinc.org'}
                index: 43
              text: {type: Narrative, mustSupport: true, index: 44}
              entry:
                short: Relevant allergies or intolerances (conditions) for that patient.
                mustSupport: true
                index: 45
                slicing:
                  rules: open
                  discriminator:
                  - {path: resolve(), type: profile}
                  min: 1
                  slices:
                    allergyOrIntolerance:
                      match: {}
                      schema:
                        type: Reference
                        mustSupport: true
                        refers: ['http://hl7.org/fhir/uv/ips/StructureDefinition/AllergyIntolerance-uv-ips']
                        _required: true
                        index: 46
                      min: 1
              emptyReason: {mustSupport: false, index: 47}
              section: {mustSupport: false, index: 48}
            required: [entry, text, title, code]
        sectionPregnancyHx:
          match:
            code:
              coding:
              - {code: 10162-6, system: 'http://loinc.org'}
          schema:
            short: IPS History of Pregnancy Section
            mustSupport: true
            index: 133
            elements:
              title: {mustSupport: true, index: 134}
              code:
                type: CodeableConcept
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 10162-6, system: 'http://loinc.org'}
                index: 135
              text: {mustSupport: true, index: 136}
              entry:
                short: Current pregnancy status and, optionally, information about the outcome of earlier pregnancies.
                mustSupport: true
                index: 137
                slicing:
                  rules: open
                  discriminator:
                  - {path: resolve(), type: profile}
                  min: null
                  slices:
                    pregnancyStatus:
                      match: {}
                      schema:
                        type: Reference
                        mustSupport: true
                        refers: ['http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-pregnancy-status-uv-ips']
                        index: 138
                    pregnancyOutcomeSummary:
                      match: {}
                      schema:
                        type: Reference
                        mustSupport: true
                        refers: ['http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-pregnancy-outcome-uv-ips']
                        index: 139
              emptyReason: {mustSupport: false, index: 140}
              section: {mustSupport: false, index: 141}
            required: [text, title, code]
        sectionAdvanceDirectives:
          match:
            code:
              coding:
              - {code: 42348-3, system: 'http://loinc.org'}
          schema:
            short: IPS Advance Directives Section
            mustSupport: true
            index: 142
            elements:
              title: {mustSupport: true, index: 143}
              code:
                type: CodeableConcept
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 42348-3, system: 'http://loinc.org'}
                index: 144
              text: {type: Narrative, mustSupport: true, index: 145}
              entry:
                short: Narrative description of the patient's advance directive.
                mustSupport: true
                index: 146
                slicing:
                  rules: open
                  discriminator:
                  - {path: resolve(), type: profile}
                  min: null
                  slices:
                    advanceDirectivesConsent:
                      match: {}
                      schema:
                        type: Reference
                        mustSupport: true
                        refers: ['http://hl7.org/fhir/StructureDefinition/Consent']
                        index: 147
              emptyReason: {mustSupport: false, index: 148}
              section: {mustSupport: false, index: 149}
            required: [text, title, code]
        sectionVitalSigns:
          match:
            code:
              coding:
              - {code: 8716-3, system: 'http://loinc.org'}
          schema:
            short: IPS Vital Signs Section
            mustSupport: true
            label: Vital signs
            index: 93
            elements:
              title: {mustSupport: true, index: 94}
              code:
                type: CodeableConcept
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 8716-3, system: 'http://loinc.org'}
                index: 95
              text: {type: Narrative, mustSupport: true, index: 96}
              entry:
                short: Notable vital signs or physical findings.
                mustSupport: true
                index: 97
                slicing:
                  rules: open
                  discriminator:
                  - {path: resolve(), type: profile}
                  min: null
                  slices:
                    vitalSign:
                      match: {}
                      schema:
                        type: Reference
                        mustSupport: true
                        refers: ['http://hl7.org/fhir/StructureDefinition/vitalsigns']
                        index: 98
              emptyReason: {mustSupport: false, index: 99}
              section: {mustSupport: false, index: 100}
            required: [text, title, code]
        sectionImmunizations:
          match:
            code:
              coding:
              - {code: 11369-6, system: 'http://loinc.org'}
          schema:
            short: IPS Immunizations Section
            mustSupport: true
            index: 65
            elements:
              title: {mustSupport: true, index: 66}
              code:
                type: CodeableConcept
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 11369-6, system: 'http://loinc.org'}
                index: 67
              text: {type: Narrative, mustSupport: true, index: 68}
              entry:
                short: Patient's immunization status and pertinent history.
                mustSupport: true
                index: 69
                slicing:
                  rules: open
                  discriminator:
                  - {path: resolve(), type: profile}
                  min: 1
                  slices:
                    immunization:
                      match: {}
                      schema:
                        type: Reference
                        mustSupport: true
                        refers: ['http://hl7.org/fhir/uv/ips/StructureDefinition/Immunization-uv-ips']
                        _required: true
                        index: 70
                      min: 1
              emptyReason: {mustSupport: false, index: 71}
              section: {mustSupport: false, index: 72}
            required: [entry, text, title, code]
        sectionResults:
          match:
            code:
              coding:
              - {code: 30954-2, system: 'http://loinc.org'}
          schema:
            short: IPS Results Section
            mustSupport: true
            index: 81
            elements:
              title: {mustSupport: true, index: 82}
              code:
                type: CodeableConcept
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 30954-2, system: 'http://loinc.org'}
                index: 83
              text: {mustSupport: true, index: 84}
              entry:
                short: Relevant observation results collected on the patient or produced on in-vitro biologic specimens collected from the patient.
                mustSupport: true
                index: 85
                slicing:
                  rules: open
                  discriminator:
                  - {path: resolve(), type: profile}
                  min: 1
                  slices:
                    genericResult:
                      match: {}
                      schema:
                        type: Reference
                        mustSupport: true
                        refers: ['http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-uv-ips']
                        index: 86
                    laboratoryResult:
                      match: {}
                      schema:
                        type: Reference
                        mustSupport: true
                        refers: ['http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-laboratory-uv-ips']
                        index: 87
                    pathologyResult:
                      match: {}
                      schema:
                        type: Reference
                        mustSupport: true
                        refers: ['http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-pathology-uv-ips']
                        index: 88
                    imagingResult:
                      match: {}
                      schema:
                        type: Reference
                        mustSupport: true
                        refers: ['http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-imaging-uv-ips']
                        index: 89
                    diagnosticReport:
                      match: {}
                      schema:
                        type: Reference
                        mustSupport: true
                        refers: ['http://hl7.org/fhir/uv/ips/StructureDefinition/DiagnosticReport-uv-ips']
                        index: 90
              emptyReason: {mustSupport: false, index: 91}
              section: {mustSupport: false, index: 92}
            required: [entry, text, title, code]
        sectionMedications:
          match:
            code:
              coding:
              - {code: 10160-0, system: 'http://loinc.org'}
          schema:
            short: IPS Medication Summary Section
            mustSupport: true
            _required: true
            index: 33
            elements:
              title: {short: Medication Summary section, mustSupport: true, index: 34}
              code:
                type: CodeableConcept
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 10160-0, system: 'http://loinc.org'}
                index: 35
              text: {type: Narrative, mustSupport: true, index: 36}
              entry:
                short: Medications relevant for the scope of the patient summary
                mustSupport: true
                index: 37
                slicing:
                  rules: open
                  discriminator:
                  - {path: resolve(), type: profile}
                  min: 1
                  slices:
                    medicationStatement:
                      match: {}
                      schema:
                        type: Reference
                        mustSupport: true
                        refers: ['http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationStatement-uv-ips']
                        _required: true
                        index: 38
                      min: 1
              emptyReason: {mustSupport: false, index: 39}
              section: {mustSupport: false, index: 40}
            required: [entry, text, title, code]
        sectionPastIllnessHx:
          match:
            code:
              coding:
              - {code: 11348-0, system: 'http://loinc.org'}
          schema:
            short: IPS History of Past Illness Section
            mustSupport: true
            index: 101
            elements:
              title: {mustSupport: true, index: 102}
              code:
                type: CodeableConcept
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 11348-0, system: 'http://loinc.org'}
                index: 103
              text: {mustSupport: true, index: 104}
              entry:
                short: Conditions the patient suffered in the past.
                mustSupport: true
                index: 105
                slicing:
                  rules: open
                  discriminator:
                  - {path: resolve(), type: profile}
                  min: null
                  slices:
                    pastProblem:
                      match: {}
                      schema:
                        type: Reference
                        mustSupport: true
                        refers: ['http://hl7.org/fhir/uv/ips/StructureDefinition/Condition-uv-ips']
                        _required: true
                        index: 106
                      min: 1
              emptyReason: {mustSupport: false, index: 107}
              section: {mustSupport: false, index: 108}
            required: [text, title, code]
  attester:
    mustSupport: true
    index: 15
    elements:
      mode: {mustSupport: true, index: 16}
      time: {mustSupport: true, index: 17}
      party:
        mustSupport: true
        index: 18
        elements:
          reference: {mustSupport: true, index: 19}
  type:
    type: CodeableConcept
    short: Kind of composition ("Patient Summary")
    mustSupport: true
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: 60591-5, system: 'http://loinc.org'}
    index: 6
  title: {short: International Patient Summary, mustSupport: true, index: 13}
  author:
    short: Who and/or what authored the IPS
    mustSupport: true
    index: 11
    elements:
      reference: {mustSupport: true, index: 12}
  extension:
    type: Extension
    short: Provider to be contacted
    mustSupport: false
    url: http://hl7.org/fhir/uv/ips/StructureDefinition/participant-uv-ips
    index: 3
    slicing:
      slices:
        healthcareProviderParticipant:
          match: {}
          schema: {type: Extension, short: Provider to be contacted, mustSupport: false, url: 'http://hl7.org/fhir/uv/ips/StructureDefinition/participant-uv-ips', index: 3}
  event:
    mustSupport: true
    index: 28
    slicing:
      rules: open
      discriminator:
      - {path: code, type: pattern}
      min: null
      slices:
        careProvisioningEvent:
          match:
            code:
              coding:
              - {code: PCPR, system: 'http://terminology.hl7.org/CodeSystem/v3-ActClass'}
          schema:
            short: The care provisioning being documented
            mustSupport: true
            index: 29
            elements:
              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: PCPR, system: 'http://terminology.hl7.org/CodeSystem/v3-ActClass'}
                index: 30
              period: {mustSupport: true, index: 31}
            required: [code]
  custodian:
    mustSupport: true
    index: 20
    elements:
      reference: {mustSupport: true, index: 21}
  status: {mustSupport: true, index: 5}
  id: {mustSupport: true, index: 0}
  identifier: {mustSupport: true, index: 4}
  relatesTo:
    mustSupport: true
    index: 22
    elements:
      code: {mustSupport: true, index: 23}
      target:
        mustSupport: true
        choices: [targetIdentifier, targetReference]
        index: 25
      targetIdentifier: {type: Identifier, mustSupport: true, choiceOf: target, index: 26}
      targetReference:
        type: Reference
        mustSupport: true
        choiceOf: target
        refers: ['http://hl7.org/fhir/StructureDefinition/Composition', 'http://hl7.org/fhir/uv/ips/StructureDefinition/Composition-uv-ips']
        index: 27
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/uv/ips/StructureDefinition/Patient-uv-ips']
    index: 7
    elements:
      reference: {mustSupport: true, index: 8}
    required: [reference]
  confidentiality: {mustSupport: true, index: 14}
  text: {mustSupport: true, index: 2}
package_version: 0.3.0
extensions:
  healthcareProviderParticipant: {url: 'http://hl7.org/fhir/uv/ips/StructureDefinition/participant-uv-ips', type: Extension, short: Provider to be contacted, mustSupport: false, index: 3}
class: profile
kind: resource
url: http://hl7.org/fhir/uv/ips/StructureDefinition/Composition-uv-ips
base: http://hl7.org/fhir/StructureDefinition/clinicaldocument
version: 0.3.0
required: [section]