European Medicines Regulatory Network (EMRN) Electronic Product Information (ePI) Implementation Guide
1.0.0 - ci-build

European Medicines Regulatory Network (EMRN) Electronic Product Information (ePI) Implementation Guide - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: EUQRD_CAP_template_new_Package_Leaflet_en - Detailed Descriptions

Active as of 2025-04-02

Definitions for the EUQRD-CAP-template-new-Package-Leaflet-en resource profile.

Guidance on how to interpret the contents of this table can be found here

0. Composition
Definition

A set of healthcare-related information that is assembled together into a single logical package 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. A Composition defines the structure and narrative content necessary for a document. However, a Composition alone does not constitute a document. Rather, the Composition must be the first entry in a Bundle where Bundle.type=document, and any other resources referenced from Composition must be included as subsequent entries in the Bundle (for example Patient, Practitioner, Encounter, etc.).

ShortA set of resources composed into a single coherent clinical statement with clinical attestation
Comments

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.

Control0..*
Is Modifierfalse
Must Supportfalse
Summaryfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. Composition.implicitRules
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. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
Comments

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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supportfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Composition.language
Definition

The base language in which the resource is written.

ShortLanguage of the resource content
Comments

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).

Control0..1
BindingThe codes SHALL be taken from AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages|5.0.0
(required to http://hl7.org/fhir/ValueSet/all-languages|5.0.0)

IETF language tag for a human language

Typecode
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supportfalse
Summaryfalse
Pattern Valueen
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. Composition.contained
Definition

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.

ShortContained, inline Resources
Comments

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. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels.

Control0..*
This element is affected by the following invariants: dom-2, dom-4, dom-3, dom-5
TypeResource
Is Modifierfalse
Must Supportfalse
Summaryfalse
Alternate Namesinline resources, anonymous resources, contained resources
8. Composition.modifierExtension
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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, 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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored
Comments

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.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Must Supportfalse
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
10. Composition.status
Definition

The workflow/clinical status of this composition. The status is a marker for the clinical standing of the document.

Shortregistered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown
Comments

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.

Some 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.

Control1..1
BindingThe codes SHALL be taken from CompositionStatushttp://hl7.org/fhir/ValueSet/composition-status|5.0.0
(required to http://hl7.org/fhir/ValueSet/composition-status|5.0.0)

The workflow/clinical status of the composition.

Typecode
Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supportfalse
Summarytrue
Requirements

Need to be able to mark interim, amended, or withdrawn compositions or documents.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. Composition.type
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.

ShortKind of composition (LOINC if possible)
Comments

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.

Control1..1
BindingThe codes SHOULD be taken from FHIRDocumentTypeCodeshttp://hl7.org/fhir/ValueSet/doc-typecodes
(preferred to http://hl7.org/fhir/ValueSet/doc-typecodes)

Type of a composition.

TypeCodeableConcept
Is Modifierfalse
Must Supportfalse
Summarytrue
Requirements

Key metadata element describing the composition, used in searching/filtering.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. Composition.date
Definition

The composition editing time, when the composition was last logically changed by the author.

ShortComposition editing time
Comments

The Last Modified Date on the composition may be after the date of the document was attested without being changed. This means that the date on an amended document is the date of the amendment, not the date of original authorship.

Control1..1
TypedateTime
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supportfalse
Summarytrue
Requirements

dateTime is used for tracking, organizing versions and searching. Note that this is the time of authoring this version of the Composition. When packaged in a document, Bundle.timestamp is the date of packaging.


dateTime is used for tracking, organizing versions and searching. Note that this is the time of authoring this version of the Composition. When packaged in a document, Bundle.timestamp is the date of packaging.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. Composition.author
Definition

Identifies who is responsible for the information in the composition, not necessarily who typed it in.

ShortWho and/or what authored the composition
Control1..*
TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
Is Modifierfalse
Must Supportfalse
Summarytrue
Requirements

Identifies who is responsible for the content.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. Composition.title
Definition

Official human-readable label for the composition.

ShortHuman Readable name/title
Comments

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.

Control1..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supportfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. Composition.section
Definition

The root of the sections that make up the composition.

ShortComposition is broken into sections
Control10..*
TypeBackboneElement
Is Modifierfalse
Must Supportfalse
Summaryfalse
Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on Composition.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
  • value @ code.coding.code
  • 22. Composition.section.modifierExtension
    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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    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.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    24. Composition.section.entry
    Definition

    A reference to the actual resource from which the narrative in the section is derived.

    ShortA reference to data that supports this section
    Comments

    If there are no entries in the list, an emptyReason SHOULD be provided.

    Control0..*
    This element is affected by the following invariants: cmp-1, cmp-2
    TypeReference(Resource)
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    26. Composition.section:QRD-200000029894
    Slice NameQRD-200000029894
    Definition

    The root of the sections that make up the composition.

    ShortComposition is broken into sections
    Control10..1*
    TypeBackboneElement
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
    cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    28. Composition.section:QRD-200000029894.modifierExtension
    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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    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.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    30. Composition.section:QRD-200000029894.title
    Definition

    Section of level 1 with title PACKAGE LEAFLET and code 200000029894


    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.

    ShortPACKAGE LEAFLETLabel for section (e.g. for ToC)
    Comments

    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.

    Control10..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Summaryfalse
    Requirements

    Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

    Alternate Namesheader, label, caption
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    32. Composition.section:QRD-200000029894.code
    Definition

    A code identifying the kind of content contained within the section. This must be consistent with the section title.

    ShortClassification of section (recommended)
    Comments

    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.

    Control10..1
    BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
    (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

    Classification of a section of a composition/document.

    TypeCodeableConcept
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Requirements

    Provides computable standardized labels to topics within the document.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    34. Composition.section:QRD-200000029894.entry
    Definition

    A reference to the actual resource from which the narrative in the section is derived.

    ShortA reference to data that supports this section
    Comments

    If there are no entries in the list, an emptyReason SHOULD be provided.

    Control0..*
    This element is affected by the following invariants: cmp-1, cmp-2
    TypeReference(Resource)
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    36. Composition.section:QRD-200000029894.section
    Definition

    A nested sub-section within this section.

    ShortNested Section
    Comments

    Nested sections are primarily used to help human readers navigate to particular portions of the document.

    Control60..*
    TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    SlicingThis element introduces a set of slices on Composition.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
    • value @ code.coding.code
    • 38. Composition.section:QRD-200000029894.section:QRD-200000029895
      Slice NameQRD-200000029895
      Definition

      A nested sub-section within this section.

      ShortNested Section
      Comments

      Nested sections are primarily used to help human readers navigate to particular portions of the document.

      Control10..1*
      TypeBackboneElement
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      40. Composition.section:QRD-200000029894.section:QRD-200000029895.modifierExtension
      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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      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.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      42. Composition.section:QRD-200000029894.section:QRD-200000029895.title
      Definition

      Section of level 2 with title 1. What X is and what it is used for and code 200000029895


      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.

      Short1. What X is and what it is used forLabel for section (e.g. for ToC)
      Comments

      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.

      Control10..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supportfalse
      Summaryfalse
      Requirements

      Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

      Alternate Namesheader, label, caption
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      44. Composition.section:QRD-200000029894.section:QRD-200000029895.code
      Definition

      A code identifying the kind of content contained within the section. This must be consistent with the section title.

      ShortClassification of section (recommended)
      Comments

      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.

      Control10..1
      BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
      (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

      Classification of a section of a composition/document.

      TypeCodeableConcept
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Requirements

      Provides computable standardized labels to topics within the document.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      46. Composition.section:QRD-200000029894.section:QRD-200000029895.entry
      Definition

      A reference to the actual resource from which the narrative in the section is derived.

      ShortA reference to data that supports this section
      Comments

      If there are no entries in the list, an emptyReason SHOULD be provided.

      Control0..*
      This element is affected by the following invariants: cmp-1, cmp-2
      TypeReference(Resource)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      48. Composition.section:QRD-200000029894.section:QRD-200000029895.section
      Definition

      A nested sub-section within this section.

      ShortNested Section
      Comments

      Nested sections are primarily used to help human readers navigate to particular portions of the document.

      Control0..*
      TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      SlicingThis element introduces a set of slices on Composition.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
      • value @ code.coding.code
      • 50. Composition.section:QRD-200000029894.section:QRD-200000029895.section:QRD-200000029895-Blanksubsections
        Slice NameQRD-200000029895-Blanksubsections
        Definition

        A nested sub-section within this section.

        ShortNested Section
        Comments

        Nested sections are primarily used to help human readers navigate to particular portions of the document.

        Control0..*
        TypeBackboneElement
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        52. Composition.section:QRD-200000029894.section:QRD-200000029895.section:QRD-200000029895-Blanksubsections.modifierExtension
        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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

        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.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        54. Composition.section:QRD-200000029894.section:QRD-200000029895.section:QRD-200000029895-Blanksubsections.title
        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.

        ShortLabel for section (e.g. for ToC)
        Comments

        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.

        Control10..1
        Typestring
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supportfalse
        Summaryfalse
        Requirements

        Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

        Alternate Namesheader, label, caption
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        56. Composition.section:QRD-200000029894.section:QRD-200000029895.section:QRD-200000029895-Blanksubsections.code
        Definition

        A code identifying the kind of content contained within the section. This must be consistent with the section title.

        ShortClassification of section (recommended)
        Comments

        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.

        Control10..1
        BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
        (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

        Classification of a section of a composition/document.

        TypeCodeableConcept
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Requirements

        Provides computable standardized labels to topics within the document.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        58. Composition.section:QRD-200000029894.section:QRD-200000029895.section:QRD-200000029895-Blanksubsections.entry
        Definition

        A reference to the actual resource from which the narrative in the section is derived.

        ShortA reference to data that supports this section
        Comments

        If there are no entries in the list, an emptyReason SHOULD be provided.

        Control0..*
        This element is affected by the following invariants: cmp-1, cmp-2
        TypeReference(Resource)
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        60. Composition.section:QRD-200000029894.section:QRD-200000029896
        Slice NameQRD-200000029896
        Definition

        A nested sub-section within this section.

        ShortNested Section
        Comments

        Nested sections are primarily used to help human readers navigate to particular portions of the document.

        Control10..1*
        TypeBackboneElement
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        62. Composition.section:QRD-200000029894.section:QRD-200000029896.modifierExtension
        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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

        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.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        64. Composition.section:QRD-200000029894.section:QRD-200000029896.title
        Definition

        Section of level 2 with title 2. What you need to know before you take use X and code 200000029896


        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.

        Short2. What you need to know before you take use XLabel for section (e.g. for ToC)
        Comments

        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.

        Control10..1
        Typestring
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supportfalse
        Summaryfalse
        Requirements

        Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

        Alternate Namesheader, label, caption
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        66. Composition.section:QRD-200000029894.section:QRD-200000029896.code
        Definition

        A code identifying the kind of content contained within the section. This must be consistent with the section title.

        ShortClassification of section (recommended)
        Comments

        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.

        Control10..1
        BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
        (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

        Classification of a section of a composition/document.

        TypeCodeableConcept
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Requirements

        Provides computable standardized labels to topics within the document.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        68. Composition.section:QRD-200000029894.section:QRD-200000029896.entry
        Definition

        A reference to the actual resource from which the narrative in the section is derived.

        ShortA reference to data that supports this section
        Comments

        If there are no entries in the list, an emptyReason SHOULD be provided.

        Control0..*
        This element is affected by the following invariants: cmp-1, cmp-2
        TypeReference(Resource)
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        70. Composition.section:QRD-200000029894.section:QRD-200000029896.section
        Definition

        A nested sub-section within this section.

        ShortNested Section
        Comments

        Nested sections are primarily used to help human readers navigate to particular portions of the document.

        Control50..*
        TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        SlicingThis element introduces a set of slices on Composition.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
        • value @ code.coding.code
        • 72. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029896-Blanksubsections
          Slice NameQRD-200000029896-Blanksubsections
          Definition

          A nested sub-section within this section.

          ShortNested Section
          Comments

          Nested sections are primarily used to help human readers navigate to particular portions of the document.

          Control0..*
          TypeBackboneElement
          Is Modifierfalse
          Must Supportfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          74. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029896-Blanksubsections.modifierExtension
          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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          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.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          76. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029896-Blanksubsections.title
          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.

          ShortLabel for section (e.g. for ToC)
          Comments

          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.

          Control10..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supportfalse
          Summaryfalse
          Requirements

          Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

          Alternate Namesheader, label, caption
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          78. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029896-Blanksubsections.code
          Definition

          A code identifying the kind of content contained within the section. This must be consistent with the section title.

          ShortClassification of section (recommended)
          Comments

          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.

          Control10..1
          BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
          (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

          Classification of a section of a composition/document.

          TypeCodeableConcept
          Is Modifierfalse
          Must Supportfalse
          Summaryfalse
          Requirements

          Provides computable standardized labels to topics within the document.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          80. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029896-Blanksubsections.entry
          Definition

          A reference to the actual resource from which the narrative in the section is derived.

          ShortA reference to data that supports this section
          Comments

          If there are no entries in the list, an emptyReason SHOULD be provided.

          Control0..*
          This element is affected by the following invariants: cmp-1, cmp-2
          TypeReference(Resource)
          Is Modifierfalse
          Must Supportfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          82. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029897
          Slice NameQRD-200000029897
          Definition

          A nested sub-section within this section.

          ShortNested Section
          Comments

          Nested sections are primarily used to help human readers navigate to particular portions of the document.

          Control10..1*
          TypeBackboneElement
          Is Modifierfalse
          Must Supportfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          84. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029897.modifierExtension
          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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          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.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          86. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029897.title
          Definition

          Section of level 3 with title Do not take use X and code 200000029897


          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.

          ShortDo not take use XLabel for section (e.g. for ToC)
          Comments

          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.

          Control10..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supportfalse
          Summaryfalse
          Requirements

          Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

          Alternate Namesheader, label, caption
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          88. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029897.code
          Definition

          A code identifying the kind of content contained within the section. This must be consistent with the section title.

          ShortClassification of section (recommended)
          Comments

          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.

          Control10..1
          BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
          (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

          Classification of a section of a composition/document.

          TypeCodeableConcept
          Is Modifierfalse
          Must Supportfalse
          Summaryfalse
          Requirements

          Provides computable standardized labels to topics within the document.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          90. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029897.entry
          Definition

          A reference to the actual resource from which the narrative in the section is derived.

          ShortA reference to data that supports this section
          Comments

          If there are no entries in the list, an emptyReason SHOULD be provided.

          Control0..*
          This element is affected by the following invariants: cmp-1, cmp-2
          TypeReference(Resource)
          Is Modifierfalse
          Must Supportfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          92. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029897.section
          Definition

          A nested sub-section within this section.

          ShortNested Section
          Comments

          Nested sections are primarily used to help human readers navigate to particular portions of the document.

          Control0..*
          TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
          Is Modifierfalse
          Must Supportfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
          • value @ code.coding.code
          • 94. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029898
            Slice NameQRD-200000029898
            Definition

            A nested sub-section within this section.

            ShortNested Section
            Comments

            Nested sections are primarily used to help human readers navigate to particular portions of the document.

            Control10..1*
            TypeBackboneElement
            Is Modifierfalse
            Must Supportfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            96. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029898.modifierExtension
            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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

            ShortExtensions that cannot be ignored even if unrecognized
            Comments

            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.

            Control0..*
            TypeExtension
            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
            Summarytrue
            Requirements

            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

            Alternate Namesextensions, user content, modifiers
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            98. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029898.title
            Definition

            Section of level 3 with title Warnings and precautions and code 200000029898


            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.

            ShortWarnings and precautionsLabel for section (e.g. for ToC)
            Comments

            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.

            Control10..1
            Typestring
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supportfalse
            Summaryfalse
            Requirements

            Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

            Alternate Namesheader, label, caption
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            100. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029898.code
            Definition

            A code identifying the kind of content contained within the section. This must be consistent with the section title.

            ShortClassification of section (recommended)
            Comments

            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.

            Control10..1
            BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
            (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

            Classification of a section of a composition/document.

            TypeCodeableConcept
            Is Modifierfalse
            Must Supportfalse
            Summaryfalse
            Requirements

            Provides computable standardized labels to topics within the document.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            102. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029898.entry
            Definition

            A reference to the actual resource from which the narrative in the section is derived.

            ShortA reference to data that supports this section
            Comments

            If there are no entries in the list, an emptyReason SHOULD be provided.

            Control0..*
            This element is affected by the following invariants: cmp-1, cmp-2
            TypeReference(Resource)
            Is Modifierfalse
            Must Supportfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            104. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029898.section
            Definition

            A nested sub-section within this section.

            ShortNested Section
            Comments

            Nested sections are primarily used to help human readers navigate to particular portions of the document.

            Control0..*
            TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
            Is Modifierfalse
            Must Supportfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
            • value @ code.coding.code
            • 106. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029899
              Slice NameQRD-200000029899
              Definition

              A nested sub-section within this section.

              ShortNested Section
              Comments

              Nested sections are primarily used to help human readers navigate to particular portions of the document.

              Control0..1*
              TypeBackboneElement
              Is Modifierfalse
              Must Supportfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              108. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029899.modifierExtension
              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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

              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.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              110. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029899.title
              Definition

              Section of level 3 with title Children and adolescents and code 200000029899


              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.

              ShortChildren and adolescentsLabel for section (e.g. for ToC)
              Comments

              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.

              Control10..1
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supportfalse
              Summaryfalse
              Requirements

              Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

              Alternate Namesheader, label, caption
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              112. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029899.code
              Definition

              A code identifying the kind of content contained within the section. This must be consistent with the section title.

              ShortClassification of section (recommended)
              Comments

              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.

              Control10..1
              BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
              (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

              Classification of a section of a composition/document.

              TypeCodeableConcept
              Is Modifierfalse
              Must Supportfalse
              Summaryfalse
              Requirements

              Provides computable standardized labels to topics within the document.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              114. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029899.entry
              Definition

              A reference to the actual resource from which the narrative in the section is derived.

              ShortA reference to data that supports this section
              Comments

              If there are no entries in the list, an emptyReason SHOULD be provided.

              Control0..*
              This element is affected by the following invariants: cmp-1, cmp-2
              TypeReference(Resource)
              Is Modifierfalse
              Must Supportfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              116. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029899.section
              Definition

              A nested sub-section within this section.

              ShortNested Section
              Comments

              Nested sections are primarily used to help human readers navigate to particular portions of the document.

              Control0..*
              TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
              Is Modifierfalse
              Must Supportfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
              • value @ code.coding.code
              • 118. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029900
                Slice NameQRD-200000029900
                Definition

                A nested sub-section within this section.

                ShortNested Section
                Comments

                Nested sections are primarily used to help human readers navigate to particular portions of the document.

                Control10..1*
                TypeBackboneElement
                Is Modifierfalse
                Must Supportfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                120. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029900.modifierExtension
                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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                ShortExtensions that cannot be ignored even if unrecognized
                Comments

                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.

                Control0..*
                TypeExtension
                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                Summarytrue
                Requirements

                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                Alternate Namesextensions, user content, modifiers
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                122. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029900.title
                Definition

                Section of level 3 with title Other medicines and X and code 200000029900


                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.

                ShortOther medicines and XLabel for section (e.g. for ToC)
                Comments

                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.

                Control10..1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supportfalse
                Summaryfalse
                Requirements

                Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                Alternate Namesheader, label, caption
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                124. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029900.code
                Definition

                A code identifying the kind of content contained within the section. This must be consistent with the section title.

                ShortClassification of section (recommended)
                Comments

                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.

                Control10..1
                BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                Classification of a section of a composition/document.

                TypeCodeableConcept
                Is Modifierfalse
                Must Supportfalse
                Summaryfalse
                Requirements

                Provides computable standardized labels to topics within the document.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                126. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029900.entry
                Definition

                A reference to the actual resource from which the narrative in the section is derived.

                ShortA reference to data that supports this section
                Comments

                If there are no entries in the list, an emptyReason SHOULD be provided.

                Control0..*
                This element is affected by the following invariants: cmp-1, cmp-2
                TypeReference(Resource)
                Is Modifierfalse
                Must Supportfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                128. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029900.section
                Definition

                A nested sub-section within this section.

                ShortNested Section
                Comments

                Nested sections are primarily used to help human readers navigate to particular portions of the document.

                Control0..*
                TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                Is Modifierfalse
                Must Supportfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                • value @ code.coding.code
                • 130. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029901
                  Slice NameQRD-200000029901
                  Definition

                  A nested sub-section within this section.

                  ShortNested Section
                  Comments

                  Nested sections are primarily used to help human readers navigate to particular portions of the document.

                  Control0..1*
                  TypeBackboneElement
                  Is Modifierfalse
                  Must Supportfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  132. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029901.modifierExtension
                  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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                  ShortExtensions that cannot be ignored even if unrecognized
                  Comments

                  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.

                  Control0..*
                  TypeExtension
                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                  Summarytrue
                  Requirements

                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                  Alternate Namesextensions, user content, modifiers
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  134. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029901.title
                  Definition

                  Section of level 3 with title X with food and , drink and alcohol and code 200000029901


                  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.

                  ShortX with food and , drink and alcoholLabel for section (e.g. for ToC)
                  Comments

                  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.

                  Control10..1
                  Typestring
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supportfalse
                  Summaryfalse
                  Requirements

                  Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                  Alternate Namesheader, label, caption
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  136. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029901.code
                  Definition

                  A code identifying the kind of content contained within the section. This must be consistent with the section title.

                  ShortClassification of section (recommended)
                  Comments

                  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.

                  Control10..1
                  BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                  (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                  Classification of a section of a composition/document.

                  TypeCodeableConcept
                  Is Modifierfalse
                  Must Supportfalse
                  Summaryfalse
                  Requirements

                  Provides computable standardized labels to topics within the document.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  138. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029901.entry
                  Definition

                  A reference to the actual resource from which the narrative in the section is derived.

                  ShortA reference to data that supports this section
                  Comments

                  If there are no entries in the list, an emptyReason SHOULD be provided.

                  Control0..*
                  This element is affected by the following invariants: cmp-1, cmp-2
                  TypeReference(Resource)
                  Is Modifierfalse
                  Must Supportfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  140. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029901.section
                  Definition

                  A nested sub-section within this section.

                  ShortNested Section
                  Comments

                  Nested sections are primarily used to help human readers navigate to particular portions of the document.

                  Control0..*
                  TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                  Is Modifierfalse
                  Must Supportfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                  • value @ code.coding.code
                  • 142. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029902
                    Slice NameQRD-200000029902
                    Definition

                    A nested sub-section within this section.

                    ShortNested Section
                    Comments

                    Nested sections are primarily used to help human readers navigate to particular portions of the document.

                    Control10..1*
                    TypeBackboneElement
                    Is Modifierfalse
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    144. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029902.modifierExtension
                    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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                    ShortExtensions that cannot be ignored even if unrecognized
                    Comments

                    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.

                    Control0..*
                    TypeExtension
                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                    Summarytrue
                    Requirements

                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                    Alternate Namesextensions, user content, modifiers
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    146. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029902.title
                    Definition

                    Section of level 3 with title Pregnancy and , breast-feeding and fertility and code 200000029902


                    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.

                    ShortPregnancy and , breast-feeding and fertilityLabel for section (e.g. for ToC)
                    Comments

                    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.

                    Control10..1
                    Typestring
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supportfalse
                    Summaryfalse
                    Requirements

                    Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                    Alternate Namesheader, label, caption
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    148. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029902.code
                    Definition

                    A code identifying the kind of content contained within the section. This must be consistent with the section title.

                    ShortClassification of section (recommended)
                    Comments

                    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.

                    Control10..1
                    BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                    (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                    Classification of a section of a composition/document.

                    TypeCodeableConcept
                    Is Modifierfalse
                    Must Supportfalse
                    Summaryfalse
                    Requirements

                    Provides computable standardized labels to topics within the document.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    150. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029902.entry
                    Definition

                    A reference to the actual resource from which the narrative in the section is derived.

                    ShortA reference to data that supports this section
                    Comments

                    If there are no entries in the list, an emptyReason SHOULD be provided.

                    Control0..*
                    This element is affected by the following invariants: cmp-1, cmp-2
                    TypeReference(Resource)
                    Is Modifierfalse
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    152. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029902.section
                    Definition

                    A nested sub-section within this section.

                    ShortNested Section
                    Comments

                    Nested sections are primarily used to help human readers navigate to particular portions of the document.

                    Control0..*
                    TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                    Is Modifierfalse
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                    • value @ code.coding.code
                    • 154. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029903
                      Slice NameQRD-200000029903
                      Definition

                      A nested sub-section within this section.

                      ShortNested Section
                      Comments

                      Nested sections are primarily used to help human readers navigate to particular portions of the document.

                      Control10..1*
                      TypeBackboneElement
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      156. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029903.modifierExtension
                      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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                      ShortExtensions that cannot be ignored even if unrecognized
                      Comments

                      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.

                      Control0..*
                      TypeExtension
                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                      Summarytrue
                      Requirements

                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                      Alternate Namesextensions, user content, modifiers
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      158. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029903.title
                      Definition

                      Section of level 3 with title Driving and using machines and code 200000029903


                      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.

                      ShortDriving and using machinesLabel for section (e.g. for ToC)
                      Comments

                      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.

                      Control10..1
                      Typestring
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supportfalse
                      Summaryfalse
                      Requirements

                      Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                      Alternate Namesheader, label, caption
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      160. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029903.code
                      Definition

                      A code identifying the kind of content contained within the section. This must be consistent with the section title.

                      ShortClassification of section (recommended)
                      Comments

                      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.

                      Control10..1
                      BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                      (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                      Classification of a section of a composition/document.

                      TypeCodeableConcept
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Requirements

                      Provides computable standardized labels to topics within the document.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      162. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029903.entry
                      Definition

                      A reference to the actual resource from which the narrative in the section is derived.

                      ShortA reference to data that supports this section
                      Comments

                      If there are no entries in the list, an emptyReason SHOULD be provided.

                      Control0..*
                      This element is affected by the following invariants: cmp-1, cmp-2
                      TypeReference(Resource)
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      164. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029903.section
                      Definition

                      A nested sub-section within this section.

                      ShortNested Section
                      Comments

                      Nested sections are primarily used to help human readers navigate to particular portions of the document.

                      Control0..*
                      TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                      • value @ code.coding.code
                      • 166. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029904
                        Slice NameQRD-200000029904
                        Definition

                        A nested sub-section within this section.

                        ShortNested Section
                        Comments

                        Nested sections are primarily used to help human readers navigate to particular portions of the document.

                        Control0..1*
                        TypeBackboneElement
                        Is Modifierfalse
                        Must Supportfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        168. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029904.modifierExtension
                        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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                        ShortExtensions that cannot be ignored even if unrecognized
                        Comments

                        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.

                        Control0..*
                        TypeExtension
                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                        Summarytrue
                        Requirements

                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                        Alternate Namesextensions, user content, modifiers
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        170. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029904.title
                        Definition

                        Section of level 3 with title X contains {name the excipient(s)} and code 200000029904


                        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.

                        ShortX contains {name the excipient(s)}Label for section (e.g. for ToC)
                        Comments

                        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.

                        Control10..1
                        Typestring
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Must Supportfalse
                        Summaryfalse
                        Requirements

                        Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                        Alternate Namesheader, label, caption
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        172. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029904.code
                        Definition

                        A code identifying the kind of content contained within the section. This must be consistent with the section title.

                        ShortClassification of section (recommended)
                        Comments

                        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.

                        Control10..1
                        BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                        (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                        Classification of a section of a composition/document.

                        TypeCodeableConcept
                        Is Modifierfalse
                        Must Supportfalse
                        Summaryfalse
                        Requirements

                        Provides computable standardized labels to topics within the document.

                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        174. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029904.entry
                        Definition

                        A reference to the actual resource from which the narrative in the section is derived.

                        ShortA reference to data that supports this section
                        Comments

                        If there are no entries in the list, an emptyReason SHOULD be provided.

                        Control0..*
                        This element is affected by the following invariants: cmp-1, cmp-2
                        TypeReference(Resource)
                        Is Modifierfalse
                        Must Supportfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        176. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029904.section
                        Definition

                        A nested sub-section within this section.

                        ShortNested Section
                        Comments

                        Nested sections are primarily used to help human readers navigate to particular portions of the document.

                        Control0..*
                        TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                        Is Modifierfalse
                        Must Supportfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                        • value @ code.coding.code
                        • 178. Composition.section:QRD-200000029894.section:QRD-200000029905
                          Slice NameQRD-200000029905
                          Definition

                          A nested sub-section within this section.

                          ShortNested Section
                          Comments

                          Nested sections are primarily used to help human readers navigate to particular portions of the document.

                          Control10..1*
                          TypeBackboneElement
                          Is Modifierfalse
                          Must Supportfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          180. Composition.section:QRD-200000029894.section:QRD-200000029905.modifierExtension
                          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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

                          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.

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          Requirements

                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          182. Composition.section:QRD-200000029894.section:QRD-200000029905.title
                          Definition

                          Section of level 2 with title 3. How to take use X and code 200000029905


                          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.

                          Short3. How to take use XLabel for section (e.g. for ToC)
                          Comments

                          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.

                          Control10..1
                          Typestring
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Must Supportfalse
                          Summaryfalse
                          Requirements

                          Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                          Alternate Namesheader, label, caption
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          184. Composition.section:QRD-200000029894.section:QRD-200000029905.code
                          Definition

                          A code identifying the kind of content contained within the section. This must be consistent with the section title.

                          ShortClassification of section (recommended)
                          Comments

                          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.

                          Control10..1
                          BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                          (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                          Classification of a section of a composition/document.

                          TypeCodeableConcept
                          Is Modifierfalse
                          Must Supportfalse
                          Summaryfalse
                          Requirements

                          Provides computable standardized labels to topics within the document.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          186. Composition.section:QRD-200000029894.section:QRD-200000029905.entry
                          Definition

                          A reference to the actual resource from which the narrative in the section is derived.

                          ShortA reference to data that supports this section
                          Comments

                          If there are no entries in the list, an emptyReason SHOULD be provided.

                          Control0..*
                          This element is affected by the following invariants: cmp-1, cmp-2
                          TypeReference(Resource)
                          Is Modifierfalse
                          Must Supportfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          188. Composition.section:QRD-200000029894.section:QRD-200000029905.section
                          Definition

                          A nested sub-section within this section.

                          ShortNested Section
                          Comments

                          Nested sections are primarily used to help human readers navigate to particular portions of the document.

                          Control0..*
                          TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                          Is Modifierfalse
                          Must Supportfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          SlicingThis element introduces a set of slices on Composition.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                          • value @ code.coding.code
                          • 190. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029905-Blanksubsections
                            Slice NameQRD-200000029905-Blanksubsections
                            Definition

                            A nested sub-section within this section.

                            ShortNested Section
                            Comments

                            Nested sections are primarily used to help human readers navigate to particular portions of the document.

                            Control0..*
                            TypeBackboneElement
                            Is Modifierfalse
                            Must Supportfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            192. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029905-Blanksubsections.modifierExtension
                            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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                            ShortExtensions that cannot be ignored even if unrecognized
                            Comments

                            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.

                            Control0..*
                            TypeExtension
                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                            Summarytrue
                            Requirements

                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                            Alternate Namesextensions, user content, modifiers
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            194. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029905-Blanksubsections.title
                            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.

                            ShortLabel for section (e.g. for ToC)
                            Comments

                            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.

                            Control10..1
                            Typestring
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Must Supportfalse
                            Summaryfalse
                            Requirements

                            Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                            Alternate Namesheader, label, caption
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            196. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029905-Blanksubsections.code
                            Definition

                            A code identifying the kind of content contained within the section. This must be consistent with the section title.

                            ShortClassification of section (recommended)
                            Comments

                            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.

                            Control10..1
                            BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                            (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                            Classification of a section of a composition/document.

                            TypeCodeableConcept
                            Is Modifierfalse
                            Must Supportfalse
                            Summaryfalse
                            Requirements

                            Provides computable standardized labels to topics within the document.

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            198. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029905-Blanksubsections.entry
                            Definition

                            A reference to the actual resource from which the narrative in the section is derived.

                            ShortA reference to data that supports this section
                            Comments

                            If there are no entries in the list, an emptyReason SHOULD be provided.

                            Control0..*
                            This element is affected by the following invariants: cmp-1, cmp-2
                            TypeReference(Resource)
                            Is Modifierfalse
                            Must Supportfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            200. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029906
                            Slice NameQRD-200000029906
                            Definition

                            A nested sub-section within this section.

                            ShortNested Section
                            Comments

                            Nested sections are primarily used to help human readers navigate to particular portions of the document.

                            Control0..1*
                            TypeBackboneElement
                            Is Modifierfalse
                            Must Supportfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            202. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029906.modifierExtension
                            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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                            ShortExtensions that cannot be ignored even if unrecognized
                            Comments

                            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.

                            Control0..*
                            TypeExtension
                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                            Summarytrue
                            Requirements

                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                            Alternate Namesextensions, user content, modifiers
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            204. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029906.title
                            Definition

                            Section of level 3 with title Use in children and adolescents and code 200000029906


                            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.

                            ShortUse in children and adolescentsLabel for section (e.g. for ToC)
                            Comments

                            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.

                            Control10..1
                            Typestring
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Must Supportfalse
                            Summaryfalse
                            Requirements

                            Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                            Alternate Namesheader, label, caption
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            206. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029906.code
                            Definition

                            A code identifying the kind of content contained within the section. This must be consistent with the section title.

                            ShortClassification of section (recommended)
                            Comments

                            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.

                            Control10..1
                            BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                            (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                            Classification of a section of a composition/document.

                            TypeCodeableConcept
                            Is Modifierfalse
                            Must Supportfalse
                            Summaryfalse
                            Requirements

                            Provides computable standardized labels to topics within the document.

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            208. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029906.entry
                            Definition

                            A reference to the actual resource from which the narrative in the section is derived.

                            ShortA reference to data that supports this section
                            Comments

                            If there are no entries in the list, an emptyReason SHOULD be provided.

                            Control0..*
                            This element is affected by the following invariants: cmp-1, cmp-2
                            TypeReference(Resource)
                            Is Modifierfalse
                            Must Supportfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            210. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029906.section
                            Definition

                            A nested sub-section within this section.

                            ShortNested Section
                            Comments

                            Nested sections are primarily used to help human readers navigate to particular portions of the document.

                            Control0..*
                            TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                            Is Modifierfalse
                            Must Supportfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                            • value @ code.coding.code
                            • 212. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029907
                              Slice NameQRD-200000029907
                              Definition

                              A nested sub-section within this section.

                              ShortNested Section
                              Comments

                              Nested sections are primarily used to help human readers navigate to particular portions of the document.

                              Control0..1*
                              TypeBackboneElement
                              Is Modifierfalse
                              Must Supportfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              214. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029907.modifierExtension
                              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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                              ShortExtensions that cannot be ignored even if unrecognized
                              Comments

                              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.

                              Control0..*
                              TypeExtension
                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                              Summarytrue
                              Requirements

                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                              Alternate Namesextensions, user content, modifiers
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              216. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029907.title
                              Definition

                              Section of level 3 with title If you take use more X than you should and code 200000029907


                              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.

                              ShortIf you take use more X than you shouldLabel for section (e.g. for ToC)
                              Comments

                              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.

                              Control10..1
                              Typestring
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supportfalse
                              Summaryfalse
                              Requirements

                              Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                              Alternate Namesheader, label, caption
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              218. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029907.code
                              Definition

                              A code identifying the kind of content contained within the section. This must be consistent with the section title.

                              ShortClassification of section (recommended)
                              Comments

                              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.

                              Control10..1
                              BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                              (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                              Classification of a section of a composition/document.

                              TypeCodeableConcept
                              Is Modifierfalse
                              Must Supportfalse
                              Summaryfalse
                              Requirements

                              Provides computable standardized labels to topics within the document.

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              220. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029907.entry
                              Definition

                              A reference to the actual resource from which the narrative in the section is derived.

                              ShortA reference to data that supports this section
                              Comments

                              If there are no entries in the list, an emptyReason SHOULD be provided.

                              Control0..*
                              This element is affected by the following invariants: cmp-1, cmp-2
                              TypeReference(Resource)
                              Is Modifierfalse
                              Must Supportfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              222. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029907.section
                              Definition

                              A nested sub-section within this section.

                              ShortNested Section
                              Comments

                              Nested sections are primarily used to help human readers navigate to particular portions of the document.

                              Control0..*
                              TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                              Is Modifierfalse
                              Must Supportfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                              • value @ code.coding.code
                              • 224. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029908
                                Slice NameQRD-200000029908
                                Definition

                                A nested sub-section within this section.

                                ShortNested Section
                                Comments

                                Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                Control0..1*
                                TypeBackboneElement
                                Is Modifierfalse
                                Must Supportfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                226. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029908.modifierExtension
                                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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                ShortExtensions that cannot be ignored even if unrecognized
                                Comments

                                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.

                                Control0..*
                                TypeExtension
                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                Summarytrue
                                Requirements

                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                Alternate Namesextensions, user content, modifiers
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                228. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029908.title
                                Definition

                                Section of level 3 with title If you forget to take use X and code 200000029908


                                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.

                                ShortIf you forget to take use XLabel for section (e.g. for ToC)
                                Comments

                                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.

                                Control10..1
                                Typestring
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Must Supportfalse
                                Summaryfalse
                                Requirements

                                Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                Alternate Namesheader, label, caption
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                230. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029908.code
                                Definition

                                A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                ShortClassification of section (recommended)
                                Comments

                                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.

                                Control10..1
                                BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                                (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                Classification of a section of a composition/document.

                                TypeCodeableConcept
                                Is Modifierfalse
                                Must Supportfalse
                                Summaryfalse
                                Requirements

                                Provides computable standardized labels to topics within the document.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                232. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029908.entry
                                Definition

                                A reference to the actual resource from which the narrative in the section is derived.

                                ShortA reference to data that supports this section
                                Comments

                                If there are no entries in the list, an emptyReason SHOULD be provided.

                                Control0..*
                                This element is affected by the following invariants: cmp-1, cmp-2
                                TypeReference(Resource)
                                Is Modifierfalse
                                Must Supportfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                234. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029908.section
                                Definition

                                A nested sub-section within this section.

                                ShortNested Section
                                Comments

                                Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                Control0..*
                                TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                Is Modifierfalse
                                Must Supportfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                • value @ code.coding.code
                                • 236. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029909
                                  Slice NameQRD-200000029909
                                  Definition

                                  A nested sub-section within this section.

                                  ShortNested Section
                                  Comments

                                  Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                  Control0..1*
                                  TypeBackboneElement
                                  Is Modifierfalse
                                  Must Supportfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  238. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029909.modifierExtension
                                  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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                  ShortExtensions that cannot be ignored even if unrecognized
                                  Comments

                                  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.

                                  Control0..*
                                  TypeExtension
                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                  Summarytrue
                                  Requirements

                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                  Alternate Namesextensions, user content, modifiers
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                  240. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029909.title
                                  Definition

                                  Section of level 3 with title If you stop taking using X and code 200000029909


                                  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.

                                  ShortIf you stop taking using XLabel for section (e.g. for ToC)
                                  Comments

                                  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.

                                  Control10..1
                                  Typestring
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Must Supportfalse
                                  Summaryfalse
                                  Requirements

                                  Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                  Alternate Namesheader, label, caption
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  242. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029909.code
                                  Definition

                                  A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                  ShortClassification of section (recommended)
                                  Comments

                                  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.

                                  Control10..1
                                  BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                                  (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                  Classification of a section of a composition/document.

                                  TypeCodeableConcept
                                  Is Modifierfalse
                                  Must Supportfalse
                                  Summaryfalse
                                  Requirements

                                  Provides computable standardized labels to topics within the document.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  244. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029909.entry
                                  Definition

                                  A reference to the actual resource from which the narrative in the section is derived.

                                  ShortA reference to data that supports this section
                                  Comments

                                  If there are no entries in the list, an emptyReason SHOULD be provided.

                                  Control0..*
                                  This element is affected by the following invariants: cmp-1, cmp-2
                                  TypeReference(Resource)
                                  Is Modifierfalse
                                  Must Supportfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  246. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029909.section
                                  Definition

                                  A nested sub-section within this section.

                                  ShortNested Section
                                  Comments

                                  Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                  Control0..*
                                  TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                  Is Modifierfalse
                                  Must Supportfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                  • value @ code.coding.code
                                  • 248. Composition.section:QRD-200000029894.section:QRD-200000029910
                                    Slice NameQRD-200000029910
                                    Definition

                                    A nested sub-section within this section.

                                    ShortNested Section
                                    Comments

                                    Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                    Control10..1*
                                    TypeBackboneElement
                                    Is Modifierfalse
                                    Must Supportfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    250. Composition.section:QRD-200000029894.section:QRD-200000029910.modifierExtension
                                    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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                    ShortExtensions that cannot be ignored even if unrecognized
                                    Comments

                                    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.

                                    Control0..*
                                    TypeExtension
                                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                    Summarytrue
                                    Requirements

                                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                    Alternate Namesextensions, user content, modifiers
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    252. Composition.section:QRD-200000029894.section:QRD-200000029910.title
                                    Definition

                                    Section of level 2 with title 4. Possible side effects and code 200000029910


                                    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.

                                    Short4. Possible side effectsLabel for section (e.g. for ToC)
                                    Comments

                                    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.

                                    Control10..1
                                    Typestring
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Must Supportfalse
                                    Summaryfalse
                                    Requirements

                                    Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                    Alternate Namesheader, label, caption
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    254. Composition.section:QRD-200000029894.section:QRD-200000029910.code
                                    Definition

                                    A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                    ShortClassification of section (recommended)
                                    Comments

                                    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.

                                    Control10..1
                                    BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                                    (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                    Classification of a section of a composition/document.

                                    TypeCodeableConcept
                                    Is Modifierfalse
                                    Must Supportfalse
                                    Summaryfalse
                                    Requirements

                                    Provides computable standardized labels to topics within the document.

                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    256. Composition.section:QRD-200000029894.section:QRD-200000029910.entry
                                    Definition

                                    A reference to the actual resource from which the narrative in the section is derived.

                                    ShortA reference to data that supports this section
                                    Comments

                                    If there are no entries in the list, an emptyReason SHOULD be provided.

                                    Control0..*
                                    This element is affected by the following invariants: cmp-1, cmp-2
                                    TypeReference(Resource)
                                    Is Modifierfalse
                                    Must Supportfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    258. Composition.section:QRD-200000029894.section:QRD-200000029910.section
                                    Definition

                                    A nested sub-section within this section.

                                    ShortNested Section
                                    Comments

                                    Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                    Control10..*
                                    TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                    Is Modifierfalse
                                    Must Supportfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    SlicingThis element introduces a set of slices on Composition.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                    • value @ code.coding.code
                                    • 260. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029910-Blanksubsections
                                      Slice NameQRD-200000029910-Blanksubsections
                                      Definition

                                      A nested sub-section within this section.

                                      ShortNested Section
                                      Comments

                                      Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                      Control0..*
                                      TypeBackboneElement
                                      Is Modifierfalse
                                      Must Supportfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      262. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029910-Blanksubsections.modifierExtension
                                      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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                      ShortExtensions that cannot be ignored even if unrecognized
                                      Comments

                                      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.

                                      Control0..*
                                      TypeExtension
                                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                      Summarytrue
                                      Requirements

                                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                      Alternate Namesextensions, user content, modifiers
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                      264. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029910-Blanksubsections.title
                                      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.

                                      ShortLabel for section (e.g. for ToC)
                                      Comments

                                      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.

                                      Control10..1
                                      Typestring
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Must Supportfalse
                                      Summaryfalse
                                      Requirements

                                      Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                      Alternate Namesheader, label, caption
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      266. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029910-Blanksubsections.code
                                      Definition

                                      A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                      ShortClassification of section (recommended)
                                      Comments

                                      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.

                                      Control10..1
                                      BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                                      (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                      Classification of a section of a composition/document.

                                      TypeCodeableConcept
                                      Is Modifierfalse
                                      Must Supportfalse
                                      Summaryfalse
                                      Requirements

                                      Provides computable standardized labels to topics within the document.

                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      268. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029910-Blanksubsections.entry
                                      Definition

                                      A reference to the actual resource from which the narrative in the section is derived.

                                      ShortA reference to data that supports this section
                                      Comments

                                      If there are no entries in the list, an emptyReason SHOULD be provided.

                                      Control0..*
                                      This element is affected by the following invariants: cmp-1, cmp-2
                                      TypeReference(Resource)
                                      Is Modifierfalse
                                      Must Supportfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      270. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029911
                                      Slice NameQRD-200000029911
                                      Definition

                                      A nested sub-section within this section.

                                      ShortNested Section
                                      Comments

                                      Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                      Control0..1*
                                      TypeBackboneElement
                                      Is Modifierfalse
                                      Must Supportfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      272. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029911.modifierExtension
                                      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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                      ShortExtensions that cannot be ignored even if unrecognized
                                      Comments

                                      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.

                                      Control0..*
                                      TypeExtension
                                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                      Summarytrue
                                      Requirements

                                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                      Alternate Namesextensions, user content, modifiers
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                      274. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029911.title
                                      Definition

                                      Section of level 3 with title Additional side effects in children and adolescents and code 200000029911


                                      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.

                                      ShortAdditional side effects in children and adolescentsLabel for section (e.g. for ToC)
                                      Comments

                                      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.

                                      Control10..1
                                      Typestring
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Must Supportfalse
                                      Summaryfalse
                                      Requirements

                                      Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                      Alternate Namesheader, label, caption
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      276. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029911.code
                                      Definition

                                      A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                      ShortClassification of section (recommended)
                                      Comments

                                      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.

                                      Control10..1
                                      BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                                      (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                      Classification of a section of a composition/document.

                                      TypeCodeableConcept
                                      Is Modifierfalse
                                      Must Supportfalse
                                      Summaryfalse
                                      Requirements

                                      Provides computable standardized labels to topics within the document.

                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      278. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029911.entry
                                      Definition

                                      A reference to the actual resource from which the narrative in the section is derived.

                                      ShortA reference to data that supports this section
                                      Comments

                                      If there are no entries in the list, an emptyReason SHOULD be provided.

                                      Control0..*
                                      This element is affected by the following invariants: cmp-1, cmp-2
                                      TypeReference(Resource)
                                      Is Modifierfalse
                                      Must Supportfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      280. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029911.section
                                      Definition

                                      A nested sub-section within this section.

                                      ShortNested Section
                                      Comments

                                      Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                      Control0..*
                                      TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                      Is Modifierfalse
                                      Must Supportfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                      • value @ code.coding.code
                                      • 282. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029912
                                        Slice NameQRD-200000029912
                                        Definition

                                        A nested sub-section within this section.

                                        ShortNested Section
                                        Comments

                                        Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                        Control10..1*
                                        TypeBackboneElement
                                        Is Modifierfalse
                                        Must Supportfalse
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        284. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029912.modifierExtension
                                        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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                        ShortExtensions that cannot be ignored even if unrecognized
                                        Comments

                                        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.

                                        Control0..*
                                        TypeExtension
                                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                        Summarytrue
                                        Requirements

                                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                        Alternate Namesextensions, user content, modifiers
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                        286. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029912.title
                                        Definition

                                        Section of level 3 with title Reporting of side effects and code 200000029912


                                        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.

                                        ShortReporting of side effectsLabel for section (e.g. for ToC)
                                        Comments

                                        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.

                                        Control10..1
                                        Typestring
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Must Supportfalse
                                        Summaryfalse
                                        Requirements

                                        Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                        Alternate Namesheader, label, caption
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        288. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029912.code
                                        Definition

                                        A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                        ShortClassification of section (recommended)
                                        Comments

                                        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.

                                        Control10..1
                                        BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                                        (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                        Classification of a section of a composition/document.

                                        TypeCodeableConcept
                                        Is Modifierfalse
                                        Must Supportfalse
                                        Summaryfalse
                                        Requirements

                                        Provides computable standardized labels to topics within the document.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        290. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029912.entry
                                        Definition

                                        A reference to the actual resource from which the narrative in the section is derived.

                                        ShortA reference to data that supports this section
                                        Comments

                                        If there are no entries in the list, an emptyReason SHOULD be provided.

                                        Control0..*
                                        This element is affected by the following invariants: cmp-1, cmp-2
                                        TypeReference(Resource)
                                        Is Modifierfalse
                                        Must Supportfalse
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        292. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029912.section
                                        Definition

                                        A nested sub-section within this section.

                                        ShortNested Section
                                        Comments

                                        Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                        Control0..*
                                        TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                        Is Modifierfalse
                                        Must Supportfalse
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                        • value @ code.coding.code
                                        • 294. Composition.section:QRD-200000029894.section:QRD-200000029913
                                          Slice NameQRD-200000029913
                                          Definition

                                          A nested sub-section within this section.

                                          ShortNested Section
                                          Comments

                                          Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                          Control10..1*
                                          TypeBackboneElement
                                          Is Modifierfalse
                                          Must Supportfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          296. Composition.section:QRD-200000029894.section:QRD-200000029913.modifierExtension
                                          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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                          ShortExtensions that cannot be ignored even if unrecognized
                                          Comments

                                          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.

                                          Control0..*
                                          TypeExtension
                                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                          Summarytrue
                                          Requirements

                                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                          Alternate Namesextensions, user content, modifiers
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                          298. Composition.section:QRD-200000029894.section:QRD-200000029913.title
                                          Definition

                                          Section of level 2 with title 5. How to store X and code 200000029913


                                          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.

                                          Short5. How to store XLabel for section (e.g. for ToC)
                                          Comments

                                          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.

                                          Control10..1
                                          Typestring
                                          Is Modifierfalse
                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                          Must Supportfalse
                                          Summaryfalse
                                          Requirements

                                          Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                          Alternate Namesheader, label, caption
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          300. Composition.section:QRD-200000029894.section:QRD-200000029913.code
                                          Definition

                                          A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                          ShortClassification of section (recommended)
                                          Comments

                                          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.

                                          Control10..1
                                          BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                                          (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                          Classification of a section of a composition/document.

                                          TypeCodeableConcept
                                          Is Modifierfalse
                                          Must Supportfalse
                                          Summaryfalse
                                          Requirements

                                          Provides computable standardized labels to topics within the document.

                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          302. Composition.section:QRD-200000029894.section:QRD-200000029913.entry
                                          Definition

                                          A reference to the actual resource from which the narrative in the section is derived.

                                          ShortA reference to data that supports this section
                                          Comments

                                          If there are no entries in the list, an emptyReason SHOULD be provided.

                                          Control0..*
                                          This element is affected by the following invariants: cmp-1, cmp-2
                                          TypeReference(Resource)
                                          Is Modifierfalse
                                          Must Supportfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          304. Composition.section:QRD-200000029894.section:QRD-200000029913.section
                                          Definition

                                          A nested sub-section within this section.

                                          ShortNested Section
                                          Comments

                                          Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                          Control0..*
                                          TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                          Is Modifierfalse
                                          Must Supportfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          SlicingThis element introduces a set of slices on Composition.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                          • value @ code.coding.code
                                          • 306. Composition.section:QRD-200000029894.section:QRD-200000029913.section:QRD-200000029913-Blanksubsections
                                            Slice NameQRD-200000029913-Blanksubsections
                                            Definition

                                            A nested sub-section within this section.

                                            ShortNested Section
                                            Comments

                                            Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                            Control0..*
                                            TypeBackboneElement
                                            Is Modifierfalse
                                            Must Supportfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            308. Composition.section:QRD-200000029894.section:QRD-200000029913.section:QRD-200000029913-Blanksubsections.modifierExtension
                                            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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                            ShortExtensions that cannot be ignored even if unrecognized
                                            Comments

                                            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.

                                            Control0..*
                                            TypeExtension
                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                            Summarytrue
                                            Requirements

                                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                            Alternate Namesextensions, user content, modifiers
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                            310. Composition.section:QRD-200000029894.section:QRD-200000029913.section:QRD-200000029913-Blanksubsections.title
                                            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.

                                            ShortLabel for section (e.g. for ToC)
                                            Comments

                                            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.

                                            Control10..1
                                            Typestring
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Must Supportfalse
                                            Summaryfalse
                                            Requirements

                                            Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                            Alternate Namesheader, label, caption
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            312. Composition.section:QRD-200000029894.section:QRD-200000029913.section:QRD-200000029913-Blanksubsections.code
                                            Definition

                                            A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                            ShortClassification of section (recommended)
                                            Comments

                                            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.

                                            Control10..1
                                            BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                                            (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                            Classification of a section of a composition/document.

                                            TypeCodeableConcept
                                            Is Modifierfalse
                                            Must Supportfalse
                                            Summaryfalse
                                            Requirements

                                            Provides computable standardized labels to topics within the document.

                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            314. Composition.section:QRD-200000029894.section:QRD-200000029913.section:QRD-200000029913-Blanksubsections.entry
                                            Definition

                                            A reference to the actual resource from which the narrative in the section is derived.

                                            ShortA reference to data that supports this section
                                            Comments

                                            If there are no entries in the list, an emptyReason SHOULD be provided.

                                            Control0..*
                                            This element is affected by the following invariants: cmp-1, cmp-2
                                            TypeReference(Resource)
                                            Is Modifierfalse
                                            Must Supportfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            316. Composition.section:QRD-200000029894.section:QRD-200000029914
                                            Slice NameQRD-200000029914
                                            Definition

                                            A nested sub-section within this section.

                                            ShortNested Section
                                            Comments

                                            Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                            Control10..1*
                                            TypeBackboneElement
                                            Is Modifierfalse
                                            Must Supportfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            318. Composition.section:QRD-200000029894.section:QRD-200000029914.modifierExtension
                                            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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                            ShortExtensions that cannot be ignored even if unrecognized
                                            Comments

                                            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.

                                            Control0..*
                                            TypeExtension
                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                            Summarytrue
                                            Requirements

                                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                            Alternate Namesextensions, user content, modifiers
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                            320. Composition.section:QRD-200000029894.section:QRD-200000029914.title
                                            Definition

                                            Section of level 2 with title 6. Contents of the pack and other information and code 200000029914


                                            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.

                                            Short6. Contents of the pack and other informationLabel for section (e.g. for ToC)
                                            Comments

                                            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.

                                            Control10..1
                                            Typestring
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Must Supportfalse
                                            Summaryfalse
                                            Requirements

                                            Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                            Alternate Namesheader, label, caption
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            322. Composition.section:QRD-200000029894.section:QRD-200000029914.code
                                            Definition

                                            A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                            ShortClassification of section (recommended)
                                            Comments

                                            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.

                                            Control10..1
                                            BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                                            (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                            Classification of a section of a composition/document.

                                            TypeCodeableConcept
                                            Is Modifierfalse
                                            Must Supportfalse
                                            Summaryfalse
                                            Requirements

                                            Provides computable standardized labels to topics within the document.

                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            324. Composition.section:QRD-200000029894.section:QRD-200000029914.entry
                                            Definition

                                            A reference to the actual resource from which the narrative in the section is derived.

                                            ShortA reference to data that supports this section
                                            Comments

                                            If there are no entries in the list, an emptyReason SHOULD be provided.

                                            Control0..*
                                            This element is affected by the following invariants: cmp-1, cmp-2
                                            TypeReference(Resource)
                                            Is Modifierfalse
                                            Must Supportfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            326. Composition.section:QRD-200000029894.section:QRD-200000029914.section
                                            Definition

                                            A nested sub-section within this section.

                                            ShortNested Section
                                            Comments

                                            Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                            Control40..*
                                            TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                            Is Modifierfalse
                                            Must Supportfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            SlicingThis element introduces a set of slices on Composition.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                            • value @ code.coding.code
                                            • 328. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029914-Blanksubsections
                                              Slice NameQRD-200000029914-Blanksubsections
                                              Definition

                                              A nested sub-section within this section.

                                              ShortNested Section
                                              Comments

                                              Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                              Control0..*
                                              TypeBackboneElement
                                              Is Modifierfalse
                                              Must Supportfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              330. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029914-Blanksubsections.modifierExtension
                                              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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                              ShortExtensions that cannot be ignored even if unrecognized
                                              Comments

                                              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.

                                              Control0..*
                                              TypeExtension
                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                              Summarytrue
                                              Requirements

                                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                              Alternate Namesextensions, user content, modifiers
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                              332. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029914-Blanksubsections.title
                                              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.

                                              ShortLabel for section (e.g. for ToC)
                                              Comments

                                              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.

                                              Control10..1
                                              Typestring
                                              Is Modifierfalse
                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                              Must Supportfalse
                                              Summaryfalse
                                              Requirements

                                              Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                              Alternate Namesheader, label, caption
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              334. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029914-Blanksubsections.code
                                              Definition

                                              A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                              ShortClassification of section (recommended)
                                              Comments

                                              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.

                                              Control10..1
                                              BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                                              (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                              Classification of a section of a composition/document.

                                              TypeCodeableConcept
                                              Is Modifierfalse
                                              Must Supportfalse
                                              Summaryfalse
                                              Requirements

                                              Provides computable standardized labels to topics within the document.

                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              336. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029914-Blanksubsections.entry
                                              Definition

                                              A reference to the actual resource from which the narrative in the section is derived.

                                              ShortA reference to data that supports this section
                                              Comments

                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                              Control0..*
                                              This element is affected by the following invariants: cmp-1, cmp-2
                                              TypeReference(Resource)
                                              Is Modifierfalse
                                              Must Supportfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              338. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029915
                                              Slice NameQRD-200000029915
                                              Definition

                                              A nested sub-section within this section.

                                              ShortNested Section
                                              Comments

                                              Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                              Control10..1*
                                              TypeBackboneElement
                                              Is Modifierfalse
                                              Must Supportfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              340. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029915.modifierExtension
                                              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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                              ShortExtensions that cannot be ignored even if unrecognized
                                              Comments

                                              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.

                                              Control0..*
                                              TypeExtension
                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                              Summarytrue
                                              Requirements

                                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                              Alternate Namesextensions, user content, modifiers
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                              342. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029915.title
                                              Definition

                                              Section of level 3 with title What X contains and code 200000029915


                                              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.

                                              ShortWhat X containsLabel for section (e.g. for ToC)
                                              Comments

                                              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.

                                              Control10..1
                                              Typestring
                                              Is Modifierfalse
                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                              Must Supportfalse
                                              Summaryfalse
                                              Requirements

                                              Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                              Alternate Namesheader, label, caption
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              344. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029915.code
                                              Definition

                                              A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                              ShortClassification of section (recommended)
                                              Comments

                                              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.

                                              Control10..1
                                              BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                                              (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                              Classification of a section of a composition/document.

                                              TypeCodeableConcept
                                              Is Modifierfalse
                                              Must Supportfalse
                                              Summaryfalse
                                              Requirements

                                              Provides computable standardized labels to topics within the document.

                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              346. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029915.entry
                                              Definition

                                              A reference to the actual resource from which the narrative in the section is derived.

                                              ShortA reference to data that supports this section
                                              Comments

                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                              Control0..*
                                              This element is affected by the following invariants: cmp-1, cmp-2
                                              TypeReference(Resource)
                                              Is Modifierfalse
                                              Must Supportfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              348. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029915.section
                                              Definition

                                              A nested sub-section within this section.

                                              ShortNested Section
                                              Comments

                                              Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                              Control0..*
                                              TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                              Is Modifierfalse
                                              Must Supportfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                              • value @ code.coding.code
                                              • 350. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029916
                                                Slice NameQRD-200000029916
                                                Definition

                                                A nested sub-section within this section.

                                                ShortNested Section
                                                Comments

                                                Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                Control10..1*
                                                TypeBackboneElement
                                                Is Modifierfalse
                                                Must Supportfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                352. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029916.modifierExtension
                                                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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                ShortExtensions that cannot be ignored even if unrecognized
                                                Comments

                                                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.

                                                Control0..*
                                                TypeExtension
                                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                Summarytrue
                                                Requirements

                                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                Alternate Namesextensions, user content, modifiers
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                354. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029916.title
                                                Definition

                                                Section of level 3 with title What X looks like and contents of the pack and code 200000029916


                                                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.

                                                ShortWhat X looks like and contents of the packLabel for section (e.g. for ToC)
                                                Comments

                                                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.

                                                Control10..1
                                                Typestring
                                                Is Modifierfalse
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Must Supportfalse
                                                Summaryfalse
                                                Requirements

                                                Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                Alternate Namesheader, label, caption
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                356. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029916.code
                                                Definition

                                                A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                ShortClassification of section (recommended)
                                                Comments

                                                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.

                                                Control10..1
                                                BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                                                (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                Classification of a section of a composition/document.

                                                TypeCodeableConcept
                                                Is Modifierfalse
                                                Must Supportfalse
                                                Summaryfalse
                                                Requirements

                                                Provides computable standardized labels to topics within the document.

                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                358. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029916.entry
                                                Definition

                                                A reference to the actual resource from which the narrative in the section is derived.

                                                ShortA reference to data that supports this section
                                                Comments

                                                If there are no entries in the list, an emptyReason SHOULD be provided.

                                                Control0..*
                                                This element is affected by the following invariants: cmp-1, cmp-2
                                                TypeReference(Resource)
                                                Is Modifierfalse
                                                Must Supportfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                360. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029916.section
                                                Definition

                                                A nested sub-section within this section.

                                                ShortNested Section
                                                Comments

                                                Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                Control0..*
                                                TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                Is Modifierfalse
                                                Must Supportfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                • value @ code.coding.code
                                                • 362. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029917
                                                  Slice NameQRD-200000029917
                                                  Definition

                                                  A nested sub-section within this section.

                                                  ShortNested Section
                                                  Comments

                                                  Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                  Control10..1*
                                                  TypeBackboneElement
                                                  Is Modifierfalse
                                                  Must Supportfalse
                                                  Summaryfalse
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  364. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029917.modifierExtension
                                                  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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                  ShortExtensions that cannot be ignored even if unrecognized
                                                  Comments

                                                  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.

                                                  Control0..*
                                                  TypeExtension
                                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                  Summarytrue
                                                  Requirements

                                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                  Alternate Namesextensions, user content, modifiers
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                  366. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029917.title
                                                  Definition

                                                  Section of level 3 with title Marketing Authorisation Holder and Manufacturer and code 200000029917


                                                  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.

                                                  ShortMarketing Authorisation Holder and ManufacturerLabel for section (e.g. for ToC)
                                                  Comments

                                                  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.

                                                  Control10..1
                                                  Typestring
                                                  Is Modifierfalse
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Must Supportfalse
                                                  Summaryfalse
                                                  Requirements

                                                  Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                  Alternate Namesheader, label, caption
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  368. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029917.code
                                                  Definition

                                                  A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                  ShortClassification of section (recommended)
                                                  Comments

                                                  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.

                                                  Control10..1
                                                  BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                                                  (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                  Classification of a section of a composition/document.

                                                  TypeCodeableConcept
                                                  Is Modifierfalse
                                                  Must Supportfalse
                                                  Summaryfalse
                                                  Requirements

                                                  Provides computable standardized labels to topics within the document.

                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  370. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029917.entry
                                                  Definition

                                                  A reference to the actual resource from which the narrative in the section is derived.

                                                  ShortA reference to data that supports this section
                                                  Comments

                                                  If there are no entries in the list, an emptyReason SHOULD be provided.

                                                  Control0..*
                                                  This element is affected by the following invariants: cmp-1, cmp-2
                                                  TypeReference(Resource)
                                                  Is Modifierfalse
                                                  Must Supportfalse
                                                  Summaryfalse
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  372. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029917.section
                                                  Definition

                                                  A nested sub-section within this section.

                                                  ShortNested Section
                                                  Comments

                                                  Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                  Control0..*
                                                  TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                  Is Modifierfalse
                                                  Must Supportfalse
                                                  Summaryfalse
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                  • value @ code.coding.code
                                                  • 374. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029919
                                                    Slice NameQRD-200000029919
                                                    Definition

                                                    A nested sub-section within this section.

                                                    ShortNested Section
                                                    Comments

                                                    Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                    Control10..1*
                                                    TypeBackboneElement
                                                    Is Modifierfalse
                                                    Must Supportfalse
                                                    Summaryfalse
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    376. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029919.modifierExtension
                                                    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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                    ShortExtensions that cannot be ignored even if unrecognized
                                                    Comments

                                                    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.

                                                    Control0..*
                                                    TypeExtension
                                                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                    Summarytrue
                                                    Requirements

                                                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                    Alternate Namesextensions, user content, modifiers
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                    378. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029919.title
                                                    Definition

                                                    Section of level 3 with title This leaflet was last revised in {MM/YYYY}{month YYYY}. and code 200000029919


                                                    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.

                                                    ShortThis leaflet was last revised in {MM/YYYY}{month YYYY}.Label for section (e.g. for ToC)
                                                    Comments

                                                    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.

                                                    Control10..1
                                                    Typestring
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Must Supportfalse
                                                    Summaryfalse
                                                    Requirements

                                                    Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                    Alternate Namesheader, label, caption
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    380. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029919.code
                                                    Definition

                                                    A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                    ShortClassification of section (recommended)
                                                    Comments

                                                    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.

                                                    Control10..1
                                                    BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                                                    (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                    Classification of a section of a composition/document.

                                                    TypeCodeableConcept
                                                    Is Modifierfalse
                                                    Must Supportfalse
                                                    Summaryfalse
                                                    Requirements

                                                    Provides computable standardized labels to topics within the document.

                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    382. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029919.entry
                                                    Definition

                                                    A reference to the actual resource from which the narrative in the section is derived.

                                                    ShortA reference to data that supports this section
                                                    Comments

                                                    If there are no entries in the list, an emptyReason SHOULD be provided.

                                                    Control0..*
                                                    This element is affected by the following invariants: cmp-1, cmp-2
                                                    TypeReference(Resource)
                                                    Is Modifierfalse
                                                    Must Supportfalse
                                                    Summaryfalse
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    384. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029919.section
                                                    Definition

                                                    A nested sub-section within this section.

                                                    ShortNested Section
                                                    Comments

                                                    Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                    Control0..*
                                                    TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                    Is Modifierfalse
                                                    Must Supportfalse
                                                    Summaryfalse
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                    • value @ code.coding.code
                                                    • 386. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029920
                                                      Slice NameQRD-200000029920
                                                      Definition

                                                      A nested sub-section within this section.

                                                      ShortNested Section
                                                      Comments

                                                      Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                      Control0..1*
                                                      TypeBackboneElement
                                                      Is Modifierfalse
                                                      Must Supportfalse
                                                      Summaryfalse
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      388. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029920.modifierExtension
                                                      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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                      ShortExtensions that cannot be ignored even if unrecognized
                                                      Comments

                                                      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.

                                                      Control0..*
                                                      TypeExtension
                                                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                      Summarytrue
                                                      Requirements

                                                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                      Alternate Namesextensions, user content, modifiers
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                      390. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029920.title
                                                      Definition

                                                      Section of level 3 with title Other sources of information and code 200000029920


                                                      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.

                                                      ShortOther sources of informationLabel for section (e.g. for ToC)
                                                      Comments

                                                      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.

                                                      Control10..1
                                                      Typestring
                                                      Is Modifierfalse
                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                      Must Supportfalse
                                                      Summaryfalse
                                                      Requirements

                                                      Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                      Alternate Namesheader, label, caption
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      392. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029920.code
                                                      Definition

                                                      A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                      ShortClassification of section (recommended)
                                                      Comments

                                                      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.

                                                      Control10..1
                                                      BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                                                      (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                      Classification of a section of a composition/document.

                                                      TypeCodeableConcept
                                                      Is Modifierfalse
                                                      Must Supportfalse
                                                      Summaryfalse
                                                      Requirements

                                                      Provides computable standardized labels to topics within the document.

                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      394. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029920.entry
                                                      Definition

                                                      A reference to the actual resource from which the narrative in the section is derived.

                                                      ShortA reference to data that supports this section
                                                      Comments

                                                      If there are no entries in the list, an emptyReason SHOULD be provided.

                                                      Control0..*
                                                      This element is affected by the following invariants: cmp-1, cmp-2
                                                      TypeReference(Resource)
                                                      Is Modifierfalse
                                                      Must Supportfalse
                                                      Summaryfalse
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      396. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029920.section
                                                      Definition

                                                      A nested sub-section within this section.

                                                      ShortNested Section
                                                      Comments

                                                      Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                      Control0..*
                                                      TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                      Is Modifierfalse
                                                      Must Supportfalse
                                                      Summaryfalse
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                      • value @ code.coding.code
                                                      • 398. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029921
                                                        Slice NameQRD-200000029921
                                                        Definition

                                                        A nested sub-section within this section.

                                                        ShortNested Section
                                                        Comments

                                                        Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                        Control0..1*
                                                        TypeBackboneElement
                                                        Is Modifierfalse
                                                        Must Supportfalse
                                                        Summaryfalse
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        400. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029921.modifierExtension
                                                        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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                        ShortExtensions that cannot be ignored even if unrecognized
                                                        Comments

                                                        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.

                                                        Control0..*
                                                        TypeExtension
                                                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                        Summarytrue
                                                        Requirements

                                                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                        Alternate Namesextensions, user content, modifiers
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                        402. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029921.title
                                                        Definition

                                                        Section of level 3 with title The following information is intended for healthcare professionals only: and code 200000029921


                                                        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.

                                                        ShortThe following information is intended for healthcare professionals only:Label for section (e.g. for ToC)
                                                        Comments

                                                        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.

                                                        Control10..1
                                                        Typestring
                                                        Is Modifierfalse
                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                        Must Supportfalse
                                                        Summaryfalse
                                                        Requirements

                                                        Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                        Alternate Namesheader, label, caption
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        404. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029921.code
                                                        Definition

                                                        A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                        ShortClassification of section (recommended)
                                                        Comments

                                                        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.

                                                        Control10..1
                                                        BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                                                        (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                        Classification of a section of a composition/document.

                                                        TypeCodeableConcept
                                                        Is Modifierfalse
                                                        Must Supportfalse
                                                        Summaryfalse
                                                        Requirements

                                                        Provides computable standardized labels to topics within the document.

                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        406. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029921.entry
                                                        Definition

                                                        A reference to the actual resource from which the narrative in the section is derived.

                                                        ShortA reference to data that supports this section
                                                        Comments

                                                        If there are no entries in the list, an emptyReason SHOULD be provided.

                                                        Control0..*
                                                        This element is affected by the following invariants: cmp-1, cmp-2
                                                        TypeReference(Resource)
                                                        Is Modifierfalse
                                                        Must Supportfalse
                                                        Summaryfalse
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        408. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029921.section
                                                        Definition

                                                        A nested sub-section within this section.

                                                        ShortNested Section
                                                        Comments

                                                        Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                        Control0..*
                                                        TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                        Is Modifierfalse
                                                        Must Supportfalse
                                                        Summaryfalse
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                        • value @ code.coding.code
                                                        • Guidance on how to interpret the contents of this table can be found here

                                                          0. Composition
                                                          2. Composition.language
                                                          Pattern Valueen
                                                          4. Composition.section
                                                          Control1..?
                                                          SlicingThis element introduces a set of slices on Composition.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                          • value @ code.coding.code
                                                          • 6. Composition.section:QRD-200000029894
                                                            Slice NameQRD-200000029894
                                                            Control1..1
                                                            8. Composition.section:QRD-200000029894.title
                                                            Definition

                                                            Section of level 1 with title PACKAGE LEAFLET and code 200000029894

                                                            ShortPACKAGE LEAFLET
                                                            Control1..?
                                                            10. Composition.section:QRD-200000029894.code
                                                            Control1..?
                                                            12. Composition.section:QRD-200000029894.code.coding
                                                            14. Composition.section:QRD-200000029894.code.coding.system
                                                            Control1..?
                                                            Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                            16. Composition.section:QRD-200000029894.code.coding.code
                                                            Control1..?
                                                            Pattern Value200000029894
                                                            18. Composition.section:QRD-200000029894.section
                                                            Control6..?
                                                            SlicingThis element introduces a set of slices on Composition.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                            • value @ code.coding.code
                                                            • 20. Composition.section:QRD-200000029894.section:QRD-200000029895
                                                              Slice NameQRD-200000029895
                                                              Control1..1
                                                              TypeBackboneElement
                                                              22. Composition.section:QRD-200000029894.section:QRD-200000029895.title
                                                              Definition

                                                              Section of level 2 with title 1. What X is and what it is used for and code 200000029895

                                                              Short1. What X is and what it is used for
                                                              Control1..?
                                                              24. Composition.section:QRD-200000029894.section:QRD-200000029895.code
                                                              Control1..?
                                                              26. Composition.section:QRD-200000029894.section:QRD-200000029895.code.coding
                                                              28. Composition.section:QRD-200000029894.section:QRD-200000029895.code.coding.system
                                                              Control1..?
                                                              Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                              30. Composition.section:QRD-200000029894.section:QRD-200000029895.code.coding.code
                                                              Control1..?
                                                              Pattern Value200000029895
                                                              32. Composition.section:QRD-200000029894.section:QRD-200000029895.section
                                                              SlicingThis element introduces a set of slices on Composition.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                              • value @ code.coding.code
                                                              • 34. Composition.section:QRD-200000029894.section:QRD-200000029895.section:QRD-200000029895-Blanksubsections
                                                                Slice NameQRD-200000029895-Blanksubsections
                                                                Control0..*
                                                                TypeBackboneElement
                                                                36. Composition.section:QRD-200000029894.section:QRD-200000029895.section:QRD-200000029895-Blanksubsections.title
                                                                Control1..?
                                                                38. Composition.section:QRD-200000029894.section:QRD-200000029895.section:QRD-200000029895-Blanksubsections.code
                                                                Control1..?
                                                                40. Composition.section:QRD-200000029894.section:QRD-200000029895.section:QRD-200000029895-Blanksubsections.code.coding
                                                                42. Composition.section:QRD-200000029894.section:QRD-200000029895.section:QRD-200000029895-Blanksubsections.code.coding.system
                                                                Control1..?
                                                                Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                44. Composition.section:QRD-200000029894.section:QRD-200000029895.section:QRD-200000029895-Blanksubsections.code.coding.code
                                                                Control1..?
                                                                Pattern Value200000044346
                                                                46. Composition.section:QRD-200000029894.section:QRD-200000029896
                                                                Slice NameQRD-200000029896
                                                                Control1..1
                                                                TypeBackboneElement
                                                                48. Composition.section:QRD-200000029894.section:QRD-200000029896.title
                                                                Definition

                                                                Section of level 2 with title 2. What you need to know before you take use X and code 200000029896

                                                                Short2. What you need to know before you take use X
                                                                Control1..?
                                                                50. Composition.section:QRD-200000029894.section:QRD-200000029896.code
                                                                Control1..?
                                                                52. Composition.section:QRD-200000029894.section:QRD-200000029896.code.coding
                                                                54. Composition.section:QRD-200000029894.section:QRD-200000029896.code.coding.system
                                                                Control1..?
                                                                Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                56. Composition.section:QRD-200000029894.section:QRD-200000029896.code.coding.code
                                                                Control1..?
                                                                Pattern Value200000029896
                                                                58. Composition.section:QRD-200000029894.section:QRD-200000029896.section
                                                                Control5..?
                                                                SlicingThis element introduces a set of slices on Composition.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                • value @ code.coding.code
                                                                • 60. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029896-Blanksubsections
                                                                  Slice NameQRD-200000029896-Blanksubsections
                                                                  Control0..*
                                                                  TypeBackboneElement
                                                                  62. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029896-Blanksubsections.title
                                                                  Control1..?
                                                                  64. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029896-Blanksubsections.code
                                                                  Control1..?
                                                                  66. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029896-Blanksubsections.code.coding
                                                                  68. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029896-Blanksubsections.code.coding.system
                                                                  Control1..?
                                                                  Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                  70. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029896-Blanksubsections.code.coding.code
                                                                  Control1..?
                                                                  Pattern Value200000044346
                                                                  72. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029897
                                                                  Slice NameQRD-200000029897
                                                                  Control1..1
                                                                  TypeBackboneElement
                                                                  74. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029897.title
                                                                  Definition

                                                                  Section of level 3 with title Do not take use X and code 200000029897

                                                                  ShortDo not take use X
                                                                  Control1..?
                                                                  76. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029897.code
                                                                  Control1..?
                                                                  78. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029897.code.coding
                                                                  80. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029897.code.coding.system
                                                                  Control1..?
                                                                  Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                  82. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029897.code.coding.code
                                                                  Control1..?
                                                                  Pattern Value200000029897
                                                                  84. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029897.section
                                                                  SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                  • value @ code.coding.code
                                                                  • 86. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029898
                                                                    Slice NameQRD-200000029898
                                                                    Control1..1
                                                                    TypeBackboneElement
                                                                    88. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029898.title
                                                                    Definition

                                                                    Section of level 3 with title Warnings and precautions and code 200000029898

                                                                    ShortWarnings and precautions
                                                                    Control1..?
                                                                    90. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029898.code
                                                                    Control1..?
                                                                    92. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029898.code.coding
                                                                    94. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029898.code.coding.system
                                                                    Control1..?
                                                                    Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                    96. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029898.code.coding.code
                                                                    Control1..?
                                                                    Pattern Value200000029898
                                                                    98. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029898.section
                                                                    SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                    • value @ code.coding.code
                                                                    • 100. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029899
                                                                      Slice NameQRD-200000029899
                                                                      Control0..1
                                                                      TypeBackboneElement
                                                                      102. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029899.title
                                                                      Definition

                                                                      Section of level 3 with title Children and adolescents and code 200000029899

                                                                      ShortChildren and adolescents
                                                                      Control1..?
                                                                      104. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029899.code
                                                                      Control1..?
                                                                      106. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029899.code.coding
                                                                      108. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029899.code.coding.system
                                                                      Control1..?
                                                                      Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                      110. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029899.code.coding.code
                                                                      Control1..?
                                                                      Pattern Value200000029899
                                                                      112. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029899.section
                                                                      SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                      • value @ code.coding.code
                                                                      • 114. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029900
                                                                        Slice NameQRD-200000029900
                                                                        Control1..1
                                                                        TypeBackboneElement
                                                                        116. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029900.title
                                                                        Definition

                                                                        Section of level 3 with title Other medicines and X and code 200000029900

                                                                        ShortOther medicines and X
                                                                        Control1..?
                                                                        118. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029900.code
                                                                        Control1..?
                                                                        120. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029900.code.coding
                                                                        122. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029900.code.coding.system
                                                                        Control1..?
                                                                        Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                        124. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029900.code.coding.code
                                                                        Control1..?
                                                                        Pattern Value200000029900
                                                                        126. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029900.section
                                                                        SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                        • value @ code.coding.code
                                                                        • 128. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029901
                                                                          Slice NameQRD-200000029901
                                                                          Control0..1
                                                                          TypeBackboneElement
                                                                          130. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029901.title
                                                                          Definition

                                                                          Section of level 3 with title X with food and , drink and alcohol and code 200000029901

                                                                          ShortX with food and , drink and alcohol
                                                                          Control1..?
                                                                          132. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029901.code
                                                                          Control1..?
                                                                          134. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029901.code.coding
                                                                          136. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029901.code.coding.system
                                                                          Control1..?
                                                                          Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                          138. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029901.code.coding.code
                                                                          Control1..?
                                                                          Pattern Value200000029901
                                                                          140. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029901.section
                                                                          SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                          • value @ code.coding.code
                                                                          • 142. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029902
                                                                            Slice NameQRD-200000029902
                                                                            Control1..1
                                                                            TypeBackboneElement
                                                                            144. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029902.title
                                                                            Definition

                                                                            Section of level 3 with title Pregnancy and , breast-feeding and fertility and code 200000029902

                                                                            ShortPregnancy and , breast-feeding and fertility
                                                                            Control1..?
                                                                            146. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029902.code
                                                                            Control1..?
                                                                            148. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029902.code.coding
                                                                            150. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029902.code.coding.system
                                                                            Control1..?
                                                                            Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                            152. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029902.code.coding.code
                                                                            Control1..?
                                                                            Pattern Value200000029902
                                                                            154. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029902.section
                                                                            SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                            • value @ code.coding.code
                                                                            • 156. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029903
                                                                              Slice NameQRD-200000029903
                                                                              Control1..1
                                                                              TypeBackboneElement
                                                                              158. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029903.title
                                                                              Definition

                                                                              Section of level 3 with title Driving and using machines and code 200000029903

                                                                              ShortDriving and using machines
                                                                              Control1..?
                                                                              160. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029903.code
                                                                              Control1..?
                                                                              162. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029903.code.coding
                                                                              164. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029903.code.coding.system
                                                                              Control1..?
                                                                              Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                              166. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029903.code.coding.code
                                                                              Control1..?
                                                                              Pattern Value200000029903
                                                                              168. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029903.section
                                                                              SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                              • value @ code.coding.code
                                                                              • 170. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029904
                                                                                Slice NameQRD-200000029904
                                                                                Control0..1
                                                                                TypeBackboneElement
                                                                                172. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029904.title
                                                                                Definition

                                                                                Section of level 3 with title X contains {name the excipient(s)} and code 200000029904

                                                                                ShortX contains {name the excipient(s)}
                                                                                Control1..?
                                                                                174. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029904.code
                                                                                Control1..?
                                                                                176. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029904.code.coding
                                                                                178. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029904.code.coding.system
                                                                                Control1..?
                                                                                Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                180. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029904.code.coding.code
                                                                                Control1..?
                                                                                Pattern Value200000029904
                                                                                182. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029904.section
                                                                                SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                • value @ code.coding.code
                                                                                • 184. Composition.section:QRD-200000029894.section:QRD-200000029905
                                                                                  Slice NameQRD-200000029905
                                                                                  Control1..1
                                                                                  TypeBackboneElement
                                                                                  186. Composition.section:QRD-200000029894.section:QRD-200000029905.title
                                                                                  Definition

                                                                                  Section of level 2 with title 3. How to take use X and code 200000029905

                                                                                  Short3. How to take use X
                                                                                  Control1..?
                                                                                  188. Composition.section:QRD-200000029894.section:QRD-200000029905.code
                                                                                  Control1..?
                                                                                  190. Composition.section:QRD-200000029894.section:QRD-200000029905.code.coding
                                                                                  192. Composition.section:QRD-200000029894.section:QRD-200000029905.code.coding.system
                                                                                  Control1..?
                                                                                  Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                  194. Composition.section:QRD-200000029894.section:QRD-200000029905.code.coding.code
                                                                                  Control1..?
                                                                                  Pattern Value200000029905
                                                                                  196. Composition.section:QRD-200000029894.section:QRD-200000029905.section
                                                                                  SlicingThis element introduces a set of slices on Composition.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                  • value @ code.coding.code
                                                                                  • 198. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029905-Blanksubsections
                                                                                    Slice NameQRD-200000029905-Blanksubsections
                                                                                    Control0..*
                                                                                    TypeBackboneElement
                                                                                    200. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029905-Blanksubsections.title
                                                                                    Control1..?
                                                                                    202. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029905-Blanksubsections.code
                                                                                    Control1..?
                                                                                    204. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029905-Blanksubsections.code.coding
                                                                                    206. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029905-Blanksubsections.code.coding.system
                                                                                    Control1..?
                                                                                    Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                    208. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029905-Blanksubsections.code.coding.code
                                                                                    Control1..?
                                                                                    Pattern Value200000044346
                                                                                    210. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029906
                                                                                    Slice NameQRD-200000029906
                                                                                    Control0..1
                                                                                    TypeBackboneElement
                                                                                    212. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029906.title
                                                                                    Definition

                                                                                    Section of level 3 with title Use in children and adolescents and code 200000029906

                                                                                    ShortUse in children and adolescents
                                                                                    Control1..?
                                                                                    214. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029906.code
                                                                                    Control1..?
                                                                                    216. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029906.code.coding
                                                                                    218. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029906.code.coding.system
                                                                                    Control1..?
                                                                                    Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                    220. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029906.code.coding.code
                                                                                    Control1..?
                                                                                    Pattern Value200000029906
                                                                                    222. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029906.section
                                                                                    SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                    • value @ code.coding.code
                                                                                    • 224. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029907
                                                                                      Slice NameQRD-200000029907
                                                                                      Control0..1
                                                                                      TypeBackboneElement
                                                                                      226. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029907.title
                                                                                      Definition

                                                                                      Section of level 3 with title If you take use more X than you should and code 200000029907

                                                                                      ShortIf you take use more X than you should
                                                                                      Control1..?
                                                                                      228. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029907.code
                                                                                      Control1..?
                                                                                      230. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029907.code.coding
                                                                                      232. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029907.code.coding.system
                                                                                      Control1..?
                                                                                      Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                      234. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029907.code.coding.code
                                                                                      Control1..?
                                                                                      Pattern Value200000029907
                                                                                      236. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029907.section
                                                                                      SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                      • value @ code.coding.code
                                                                                      • 238. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029908
                                                                                        Slice NameQRD-200000029908
                                                                                        Control0..1
                                                                                        TypeBackboneElement
                                                                                        240. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029908.title
                                                                                        Definition

                                                                                        Section of level 3 with title If you forget to take use X and code 200000029908

                                                                                        ShortIf you forget to take use X
                                                                                        Control1..?
                                                                                        242. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029908.code
                                                                                        Control1..?
                                                                                        244. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029908.code.coding
                                                                                        246. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029908.code.coding.system
                                                                                        Control1..?
                                                                                        Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                        248. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029908.code.coding.code
                                                                                        Control1..?
                                                                                        Pattern Value200000029908
                                                                                        250. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029908.section
                                                                                        SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                        • value @ code.coding.code
                                                                                        • 252. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029909
                                                                                          Slice NameQRD-200000029909
                                                                                          Control0..1
                                                                                          TypeBackboneElement
                                                                                          254. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029909.title
                                                                                          Definition

                                                                                          Section of level 3 with title If you stop taking using X and code 200000029909

                                                                                          ShortIf you stop taking using X
                                                                                          Control1..?
                                                                                          256. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029909.code
                                                                                          Control1..?
                                                                                          258. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029909.code.coding
                                                                                          260. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029909.code.coding.system
                                                                                          Control1..?
                                                                                          Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                          262. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029909.code.coding.code
                                                                                          Control1..?
                                                                                          Pattern Value200000029909
                                                                                          264. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029909.section
                                                                                          SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                          • value @ code.coding.code
                                                                                          • 266. Composition.section:QRD-200000029894.section:QRD-200000029910
                                                                                            Slice NameQRD-200000029910
                                                                                            Control1..1
                                                                                            TypeBackboneElement
                                                                                            268. Composition.section:QRD-200000029894.section:QRD-200000029910.title
                                                                                            Definition

                                                                                            Section of level 2 with title 4. Possible side effects and code 200000029910

                                                                                            Short4. Possible side effects
                                                                                            Control1..?
                                                                                            270. Composition.section:QRD-200000029894.section:QRD-200000029910.code
                                                                                            Control1..?
                                                                                            272. Composition.section:QRD-200000029894.section:QRD-200000029910.code.coding
                                                                                            274. Composition.section:QRD-200000029894.section:QRD-200000029910.code.coding.system
                                                                                            Control1..?
                                                                                            Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                            276. Composition.section:QRD-200000029894.section:QRD-200000029910.code.coding.code
                                                                                            Control1..?
                                                                                            Pattern Value200000029910
                                                                                            278. Composition.section:QRD-200000029894.section:QRD-200000029910.section
                                                                                            Control1..?
                                                                                            SlicingThis element introduces a set of slices on Composition.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                            • value @ code.coding.code
                                                                                            • 280. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029910-Blanksubsections
                                                                                              Slice NameQRD-200000029910-Blanksubsections
                                                                                              Control0..*
                                                                                              TypeBackboneElement
                                                                                              282. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029910-Blanksubsections.title
                                                                                              Control1..?
                                                                                              284. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029910-Blanksubsections.code
                                                                                              Control1..?
                                                                                              286. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029910-Blanksubsections.code.coding
                                                                                              288. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029910-Blanksubsections.code.coding.system
                                                                                              Control1..?
                                                                                              Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                              290. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029910-Blanksubsections.code.coding.code
                                                                                              Control1..?
                                                                                              Pattern Value200000044346
                                                                                              292. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029911
                                                                                              Slice NameQRD-200000029911
                                                                                              Control0..1
                                                                                              TypeBackboneElement
                                                                                              294. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029911.title
                                                                                              Definition

                                                                                              Section of level 3 with title Additional side effects in children and adolescents and code 200000029911

                                                                                              ShortAdditional side effects in children and adolescents
                                                                                              Control1..?
                                                                                              296. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029911.code
                                                                                              Control1..?
                                                                                              298. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029911.code.coding
                                                                                              300. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029911.code.coding.system
                                                                                              Control1..?
                                                                                              Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                              302. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029911.code.coding.code
                                                                                              Control1..?
                                                                                              Pattern Value200000029911
                                                                                              304. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029911.section
                                                                                              SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                              • value @ code.coding.code
                                                                                              • 306. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029912
                                                                                                Slice NameQRD-200000029912
                                                                                                Control1..1
                                                                                                TypeBackboneElement
                                                                                                308. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029912.title
                                                                                                Definition

                                                                                                Section of level 3 with title Reporting of side effects and code 200000029912

                                                                                                ShortReporting of side effects
                                                                                                Control1..?
                                                                                                310. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029912.code
                                                                                                Control1..?
                                                                                                312. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029912.code.coding
                                                                                                314. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029912.code.coding.system
                                                                                                Control1..?
                                                                                                Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                316. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029912.code.coding.code
                                                                                                Control1..?
                                                                                                Pattern Value200000029912
                                                                                                318. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029912.section
                                                                                                SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                • value @ code.coding.code
                                                                                                • 320. Composition.section:QRD-200000029894.section:QRD-200000029913
                                                                                                  Slice NameQRD-200000029913
                                                                                                  Control1..1
                                                                                                  TypeBackboneElement
                                                                                                  322. Composition.section:QRD-200000029894.section:QRD-200000029913.title
                                                                                                  Definition

                                                                                                  Section of level 2 with title 5. How to store X and code 200000029913

                                                                                                  Short5. How to store X
                                                                                                  Control1..?
                                                                                                  324. Composition.section:QRD-200000029894.section:QRD-200000029913.code
                                                                                                  Control1..?
                                                                                                  326. Composition.section:QRD-200000029894.section:QRD-200000029913.code.coding
                                                                                                  328. Composition.section:QRD-200000029894.section:QRD-200000029913.code.coding.system
                                                                                                  Control1..?
                                                                                                  Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                  330. Composition.section:QRD-200000029894.section:QRD-200000029913.code.coding.code
                                                                                                  Control1..?
                                                                                                  Pattern Value200000029913
                                                                                                  332. Composition.section:QRD-200000029894.section:QRD-200000029913.section
                                                                                                  SlicingThis element introduces a set of slices on Composition.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                  • value @ code.coding.code
                                                                                                  • 334. Composition.section:QRD-200000029894.section:QRD-200000029913.section:QRD-200000029913-Blanksubsections
                                                                                                    Slice NameQRD-200000029913-Blanksubsections
                                                                                                    Control0..*
                                                                                                    TypeBackboneElement
                                                                                                    336. Composition.section:QRD-200000029894.section:QRD-200000029913.section:QRD-200000029913-Blanksubsections.title
                                                                                                    Control1..?
                                                                                                    338. Composition.section:QRD-200000029894.section:QRD-200000029913.section:QRD-200000029913-Blanksubsections.code
                                                                                                    Control1..?
                                                                                                    340. Composition.section:QRD-200000029894.section:QRD-200000029913.section:QRD-200000029913-Blanksubsections.code.coding
                                                                                                    342. Composition.section:QRD-200000029894.section:QRD-200000029913.section:QRD-200000029913-Blanksubsections.code.coding.system
                                                                                                    Control1..?
                                                                                                    Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                    344. Composition.section:QRD-200000029894.section:QRD-200000029913.section:QRD-200000029913-Blanksubsections.code.coding.code
                                                                                                    Control1..?
                                                                                                    Pattern Value200000044346
                                                                                                    346. Composition.section:QRD-200000029894.section:QRD-200000029914
                                                                                                    Slice NameQRD-200000029914
                                                                                                    Control1..1
                                                                                                    TypeBackboneElement
                                                                                                    348. Composition.section:QRD-200000029894.section:QRD-200000029914.title
                                                                                                    Definition

                                                                                                    Section of level 2 with title 6. Contents of the pack and other information and code 200000029914

                                                                                                    Short6. Contents of the pack and other information
                                                                                                    Control1..?
                                                                                                    350. Composition.section:QRD-200000029894.section:QRD-200000029914.code
                                                                                                    Control1..?
                                                                                                    352. Composition.section:QRD-200000029894.section:QRD-200000029914.code.coding
                                                                                                    354. Composition.section:QRD-200000029894.section:QRD-200000029914.code.coding.system
                                                                                                    Control1..?
                                                                                                    Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                    356. Composition.section:QRD-200000029894.section:QRD-200000029914.code.coding.code
                                                                                                    Control1..?
                                                                                                    Pattern Value200000029914
                                                                                                    358. Composition.section:QRD-200000029894.section:QRD-200000029914.section
                                                                                                    Control4..?
                                                                                                    SlicingThis element introduces a set of slices on Composition.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                    • value @ code.coding.code
                                                                                                    • 360. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029914-Blanksubsections
                                                                                                      Slice NameQRD-200000029914-Blanksubsections
                                                                                                      Control0..*
                                                                                                      TypeBackboneElement
                                                                                                      362. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029914-Blanksubsections.title
                                                                                                      Control1..?
                                                                                                      364. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029914-Blanksubsections.code
                                                                                                      Control1..?
                                                                                                      366. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029914-Blanksubsections.code.coding
                                                                                                      368. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029914-Blanksubsections.code.coding.system
                                                                                                      Control1..?
                                                                                                      Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                      370. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029914-Blanksubsections.code.coding.code
                                                                                                      Control1..?
                                                                                                      Pattern Value200000044346
                                                                                                      372. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029915
                                                                                                      Slice NameQRD-200000029915
                                                                                                      Control1..1
                                                                                                      TypeBackboneElement
                                                                                                      374. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029915.title
                                                                                                      Definition

                                                                                                      Section of level 3 with title What X contains and code 200000029915

                                                                                                      ShortWhat X contains
                                                                                                      Control1..?
                                                                                                      376. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029915.code
                                                                                                      Control1..?
                                                                                                      378. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029915.code.coding
                                                                                                      380. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029915.code.coding.system
                                                                                                      Control1..?
                                                                                                      Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                      382. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029915.code.coding.code
                                                                                                      Control1..?
                                                                                                      Pattern Value200000029915
                                                                                                      384. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029915.section
                                                                                                      SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                      • value @ code.coding.code
                                                                                                      • 386. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029916
                                                                                                        Slice NameQRD-200000029916
                                                                                                        Control1..1
                                                                                                        TypeBackboneElement
                                                                                                        388. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029916.title
                                                                                                        Definition

                                                                                                        Section of level 3 with title What X looks like and contents of the pack and code 200000029916

                                                                                                        ShortWhat X looks like and contents of the pack
                                                                                                        Control1..?
                                                                                                        390. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029916.code
                                                                                                        Control1..?
                                                                                                        392. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029916.code.coding
                                                                                                        394. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029916.code.coding.system
                                                                                                        Control1..?
                                                                                                        Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                        396. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029916.code.coding.code
                                                                                                        Control1..?
                                                                                                        Pattern Value200000029916
                                                                                                        398. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029916.section
                                                                                                        SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                        • value @ code.coding.code
                                                                                                        • 400. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029917
                                                                                                          Slice NameQRD-200000029917
                                                                                                          Control1..1
                                                                                                          TypeBackboneElement
                                                                                                          402. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029917.title
                                                                                                          Definition

                                                                                                          Section of level 3 with title Marketing Authorisation Holder and Manufacturer and code 200000029917

                                                                                                          ShortMarketing Authorisation Holder and Manufacturer
                                                                                                          Control1..?
                                                                                                          404. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029917.code
                                                                                                          Control1..?
                                                                                                          406. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029917.code.coding
                                                                                                          408. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029917.code.coding.system
                                                                                                          Control1..?
                                                                                                          Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                          410. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029917.code.coding.code
                                                                                                          Control1..?
                                                                                                          Pattern Value200000029917
                                                                                                          412. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029917.section
                                                                                                          SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                          • value @ code.coding.code
                                                                                                          • 414. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029919
                                                                                                            Slice NameQRD-200000029919
                                                                                                            Control1..1
                                                                                                            TypeBackboneElement
                                                                                                            416. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029919.title
                                                                                                            Definition

                                                                                                            Section of level 3 with title This leaflet was last revised in {MM/YYYY}{month YYYY}. and code 200000029919

                                                                                                            ShortThis leaflet was last revised in {MM/YYYY}{month YYYY}.
                                                                                                            Control1..?
                                                                                                            418. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029919.code
                                                                                                            Control1..?
                                                                                                            420. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029919.code.coding
                                                                                                            422. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029919.code.coding.system
                                                                                                            Control1..?
                                                                                                            Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                            424. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029919.code.coding.code
                                                                                                            Control1..?
                                                                                                            Pattern Value200000029919
                                                                                                            426. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029919.section
                                                                                                            SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                            • value @ code.coding.code
                                                                                                            • 428. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029920
                                                                                                              Slice NameQRD-200000029920
                                                                                                              Control0..1
                                                                                                              TypeBackboneElement
                                                                                                              430. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029920.title
                                                                                                              Definition

                                                                                                              Section of level 3 with title Other sources of information and code 200000029920

                                                                                                              ShortOther sources of information
                                                                                                              Control1..?
                                                                                                              432. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029920.code
                                                                                                              Control1..?
                                                                                                              434. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029920.code.coding
                                                                                                              436. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029920.code.coding.system
                                                                                                              Control1..?
                                                                                                              Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                              438. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029920.code.coding.code
                                                                                                              Control1..?
                                                                                                              Pattern Value200000029920
                                                                                                              440. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029920.section
                                                                                                              SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                              • value @ code.coding.code
                                                                                                              • 442. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029921
                                                                                                                Slice NameQRD-200000029921
                                                                                                                Control0..1
                                                                                                                TypeBackboneElement
                                                                                                                444. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029921.title
                                                                                                                Definition

                                                                                                                Section of level 3 with title The following information is intended for healthcare professionals only: and code 200000029921

                                                                                                                ShortThe following information is intended for healthcare professionals only:
                                                                                                                Control1..?
                                                                                                                446. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029921.code
                                                                                                                Control1..?
                                                                                                                448. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029921.code.coding
                                                                                                                450. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029921.code.coding.system
                                                                                                                Control1..?
                                                                                                                Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                452. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029921.code.coding.code
                                                                                                                Control1..?
                                                                                                                Pattern Value200000029921
                                                                                                                454. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029921.section
                                                                                                                SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                • value @ code.coding.code
                                                                                                                • Guidance on how to interpret the contents of this table can be found here

                                                                                                                  0. Composition
                                                                                                                  Definition

                                                                                                                  A set of healthcare-related information that is assembled together into a single logical package 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. A Composition defines the structure and narrative content necessary for a document. However, a Composition alone does not constitute a document. Rather, the Composition must be the first entry in a Bundle where Bundle.type=document, and any other resources referenced from Composition must be included as subsequent entries in the Bundle (for example Patient, Practitioner, Encounter, etc.).

                                                                                                                  ShortA set of resources composed into a single coherent clinical statement with clinical attestation
                                                                                                                  Comments

                                                                                                                  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.

                                                                                                                  Control0..*
                                                                                                                  Is Modifierfalse
                                                                                                                  Must Supportfalse
                                                                                                                  Summaryfalse
                                                                                                                  Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
                                                                                                                  dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
                                                                                                                  dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
                                                                                                                  dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
                                                                                                                  dom-6: A resource should have narrative for robust management (text.`div`.exists())
                                                                                                                  2. Composition.id
                                                                                                                  Definition

                                                                                                                  The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

                                                                                                                  ShortLogical id of this artifact
                                                                                                                  Comments

                                                                                                                  Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.

                                                                                                                  Control0..1
                                                                                                                  Typeid
                                                                                                                  Is Modifierfalse
                                                                                                                  Must Supportfalse
                                                                                                                  Summarytrue
                                                                                                                  4. Composition.meta
                                                                                                                  Definition

                                                                                                                  The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

                                                                                                                  ShortMetadata about the resource
                                                                                                                  Control0..1
                                                                                                                  TypeMeta
                                                                                                                  Is Modifierfalse
                                                                                                                  Must Supportfalse
                                                                                                                  Summarytrue
                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  6. Composition.implicitRules
                                                                                                                  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. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

                                                                                                                  ShortA set of rules under which this content was created
                                                                                                                  Comments

                                                                                                                  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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.

                                                                                                                  Control0..1
                                                                                                                  Typeuri
                                                                                                                  Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation
                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                  Must Supportfalse
                                                                                                                  Summarytrue
                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  8. Composition.language
                                                                                                                  Definition

                                                                                                                  The base language in which the resource is written.

                                                                                                                  ShortLanguage of the resource content
                                                                                                                  Comments

                                                                                                                  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).

                                                                                                                  Control0..1
                                                                                                                  BindingThe codes SHALL be taken from AllLanguages
                                                                                                                  (required to http://hl7.org/fhir/ValueSet/all-languages|5.0.0)

                                                                                                                  IETF language tag for a human language

                                                                                                                  Typecode
                                                                                                                  Is Modifierfalse
                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                  Must Supportfalse
                                                                                                                  Summaryfalse
                                                                                                                  Pattern Valueen
                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  10. Composition.text
                                                                                                                  Definition

                                                                                                                  A human-readable narrative that contains a summary of the resource and can 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.

                                                                                                                  ShortText summary of the resource, for human interpretation
                                                                                                                  Comments

                                                                                                                  Contained resources do not have a 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 information is added later.

                                                                                                                  Control0..1
                                                                                                                  This element is affected by the following invariants: dom-6
                                                                                                                  TypeNarrative
                                                                                                                  Is Modifierfalse
                                                                                                                  Must Supportfalse
                                                                                                                  Summaryfalse
                                                                                                                  Alternate Namesnarrative, html, xhtml, display
                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  12. Composition.contained
                                                                                                                  Definition

                                                                                                                  These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.

                                                                                                                  ShortContained, inline Resources
                                                                                                                  Comments

                                                                                                                  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. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels.

                                                                                                                  Control0..*
                                                                                                                  This element is affected by the following invariants: dom-2, dom-4, dom-3, dom-5
                                                                                                                  TypeResource
                                                                                                                  Is Modifierfalse
                                                                                                                  Must Supportfalse
                                                                                                                  Summaryfalse
                                                                                                                  Alternate Namesinline resources, anonymous resources, contained resources
                                                                                                                  14. Composition.extension
                                                                                                                  Definition

                                                                                                                  May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                  ShortAdditional content defined by implementations
                                                                                                                  Comments

                                                                                                                  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.

                                                                                                                  Control0..*
                                                                                                                  TypeExtension
                                                                                                                  Is Modifierfalse
                                                                                                                  Must Supportfalse
                                                                                                                  Summaryfalse
                                                                                                                  Alternate Namesextensions, user content
                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                  16. Composition.modifierExtension
                                                                                                                  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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, 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.

                                                                                                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                  ShortExtensions that cannot be ignored
                                                                                                                  Comments

                                                                                                                  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.

                                                                                                                  Control0..*
                                                                                                                  TypeExtension
                                                                                                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                                                                                                                  Must Supportfalse
                                                                                                                  Summarytrue
                                                                                                                  Requirements

                                                                                                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                  Alternate Namesextensions, user content
                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                  18. Composition.url
                                                                                                                  Definition

                                                                                                                  An absolute URI that is used to identify this Composition when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which an authoritative instance of this Composition is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the Composition is stored on different servers.

                                                                                                                  ShortCanonical identifier for this Composition, represented as a URI (globally unique)
                                                                                                                  Comments

                                                                                                                  Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred. Multiple instances may share the same URL if they have a distinct version.

                                                                                                                  Control0..1
                                                                                                                  Typeuri
                                                                                                                  Is Modifierfalse
                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                  Must Supportfalse
                                                                                                                  Summarytrue
                                                                                                                  Requirements

                                                                                                                  Allows the Composition to be referenced by a single globally unique identifier.

                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  20. Composition.identifier
                                                                                                                  Definition

                                                                                                                  A version-independent identifier for the Composition. This identifier stays constant as the composition is changed over time.

                                                                                                                  ShortVersion-independent identifier for the Composition
                                                                                                                  Comments

                                                                                                                  Similar to ClinicalDocument/setId in CDA. See discussion in resource definition for how these relate.

                                                                                                                  NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                                                                  Control0..*
                                                                                                                  TypeIdentifier
                                                                                                                  Is Modifierfalse
                                                                                                                  Must Supportfalse
                                                                                                                  Summarytrue
                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  22. Composition.version
                                                                                                                  Definition

                                                                                                                  An explicitly assigned identifer of a variation of the content in the Composition.

                                                                                                                  ShortAn explicitly assigned identifer of a variation of the content in the Composition
                                                                                                                  Comments

                                                                                                                  While each resource, including the composition itself, has its own version identifier, this is a formal identifier for the logical version of the Composition as a whole. It would remain constant if the resources were moved to a new server, and all got new individual resource versions, for example.

                                                                                                                  NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                  Control0..1
                                                                                                                  Typestring
                                                                                                                  Is Modifierfalse
                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                  Must Supportfalse
                                                                                                                  Summarytrue
                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  24. Composition.status
                                                                                                                  Definition

                                                                                                                  The workflow/clinical status of this composition. The status is a marker for the clinical standing of the document.

                                                                                                                  Shortregistered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown
                                                                                                                  Comments

                                                                                                                  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.

                                                                                                                  Some 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.

                                                                                                                  Control1..1
                                                                                                                  BindingThe codes SHALL be taken from CompositionStatus
                                                                                                                  (required to http://hl7.org/fhir/ValueSet/composition-status|5.0.0)

                                                                                                                  The workflow/clinical status of the composition.

                                                                                                                  Typecode
                                                                                                                  Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                  Must Supportfalse
                                                                                                                  Summarytrue
                                                                                                                  Requirements

                                                                                                                  Need to be able to mark interim, amended, or withdrawn compositions or documents.

                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  26. Composition.type
                                                                                                                  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.

                                                                                                                  ShortKind of composition (LOINC if possible)
                                                                                                                  Comments

                                                                                                                  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.

                                                                                                                  Control1..1
                                                                                                                  BindingThe codes SHOULD be taken from FHIRDocumentTypeCodes
                                                                                                                  (preferred to http://hl7.org/fhir/ValueSet/doc-typecodes)

                                                                                                                  Type of a composition.

                                                                                                                  TypeCodeableConcept
                                                                                                                  Is Modifierfalse
                                                                                                                  Must Supportfalse
                                                                                                                  Summarytrue
                                                                                                                  Requirements

                                                                                                                  Key metadata element describing the composition, used in searching/filtering.

                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  28. Composition.category
                                                                                                                  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.

                                                                                                                  ShortCategorization of Composition
                                                                                                                  Control0..*
                                                                                                                  BindingFor example codes, see ReferencedItemCategoryValueSet
                                                                                                                  (example to http://hl7.org/fhir/ValueSet/referenced-item-category)

                                                                                                                  High-level kind of a clinical document at a macro level.

                                                                                                                  TypeCodeableConcept
                                                                                                                  Is Modifierfalse
                                                                                                                  Must Supportfalse
                                                                                                                  Summarytrue
                                                                                                                  Requirements

                                                                                                                  Helps humans to assess whether the composition is of interest when viewing an index of compositions or documents.

                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  30. Composition.subject
                                                                                                                  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).

                                                                                                                  ShortWho and/or what the composition is about
                                                                                                                  Comments

                                                                                                                  For clinical documents, this is usually the patient.

                                                                                                                  Control0..*
                                                                                                                  TypeReference(Resource)
                                                                                                                  Is Modifierfalse
                                                                                                                  Must Supportfalse
                                                                                                                  Summarytrue
                                                                                                                  Requirements

                                                                                                                  Essential metadata for searching for the composition. Identifies who and/or what the composition/document is about.

                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  32. Composition.encounter
                                                                                                                  Definition

                                                                                                                  Describes the clinical encounter or type of care this documentation is associated with.

                                                                                                                  ShortContext of the Composition
                                                                                                                  Control0..1
                                                                                                                  TypeReference(Encounter)
                                                                                                                  Is Modifierfalse
                                                                                                                  Must Supportfalse
                                                                                                                  Summarytrue
                                                                                                                  Requirements

                                                                                                                  Provides context for the composition and supports searching.

                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  34. Composition.date
                                                                                                                  Definition

                                                                                                                  The composition editing time, when the composition was last logically changed by the author.

                                                                                                                  ShortComposition editing time
                                                                                                                  Comments

                                                                                                                  The Last Modified Date on the composition may be after the date of the document was attested without being changed. This means that the date on an amended document is the date of the amendment, not the date of original authorship.

                                                                                                                  Control1..1
                                                                                                                  TypedateTime
                                                                                                                  Is Modifierfalse
                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                  Must Supportfalse
                                                                                                                  Summarytrue
                                                                                                                  Requirements

                                                                                                                  dateTime is used for tracking, organizing versions and searching. Note that this is the time of authoring this version of the Composition. When packaged in a document, Bundle.timestamp is the date of packaging.

                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  36. Composition.useContext
                                                                                                                  Definition

                                                                                                                  The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate Composition instances.

                                                                                                                  ShortThe context that the content is intended to support
                                                                                                                  Comments

                                                                                                                  When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.

                                                                                                                  Control0..*
                                                                                                                  TypeUsageContext
                                                                                                                  Is Modifierfalse
                                                                                                                  Must Supportfalse
                                                                                                                  Summarytrue
                                                                                                                  Requirements

                                                                                                                  Assist in searching for appropriate content.

                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  38. Composition.author
                                                                                                                  Definition

                                                                                                                  Identifies who is responsible for the information in the composition, not necessarily who typed it in.

                                                                                                                  ShortWho and/or what authored the composition
                                                                                                                  Control1..*
                                                                                                                  TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                  Is Modifierfalse
                                                                                                                  Must Supportfalse
                                                                                                                  Summarytrue
                                                                                                                  Requirements

                                                                                                                  Identifies who is responsible for the content.

                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  40. Composition.name
                                                                                                                  Definition

                                                                                                                  A natural language name identifying the {{title}}. This name should be usable as an identifier for the module by machine processing applications such as code generation.

                                                                                                                  ShortName for this Composition (computer friendly)
                                                                                                                  Comments

                                                                                                                  The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.

                                                                                                                  Control0..1
                                                                                                                  Typestring
                                                                                                                  Is Modifierfalse
                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                  Must Supportfalse
                                                                                                                  Summarytrue
                                                                                                                  Requirements

                                                                                                                  Support human navigation and code generation.

                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  42. Composition.title
                                                                                                                  Definition

                                                                                                                  Official human-readable label for the composition.

                                                                                                                  ShortHuman Readable name/title
                                                                                                                  Comments

                                                                                                                  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.

                                                                                                                  Control1..1
                                                                                                                  Typestring
                                                                                                                  Is Modifierfalse
                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                  Must Supportfalse
                                                                                                                  Summarytrue
                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  44. Composition.note
                                                                                                                  Definition

                                                                                                                  For any additional notes.

                                                                                                                  ShortFor any additional notes
                                                                                                                  Comments

                                                                                                                  A comment, general note or annotation not coded elsewhere.

                                                                                                                  Control0..*
                                                                                                                  TypeAnnotation
                                                                                                                  Is Modifierfalse
                                                                                                                  Must Supportfalse
                                                                                                                  Summaryfalse
                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  46. Composition.attester
                                                                                                                  Definition

                                                                                                                  A participant who has attested to the accuracy of the composition/document.

                                                                                                                  ShortAttests to accuracy of composition
                                                                                                                  Comments

                                                                                                                  Only list each attester once.

                                                                                                                  Control0..*
                                                                                                                  TypeBackboneElement
                                                                                                                  Is Modifierfalse
                                                                                                                  Must Supportfalse
                                                                                                                  Summaryfalse
                                                                                                                  Requirements

                                                                                                                  Identifies responsibility for the accuracy of the composition content.

                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  48. Composition.attester.id
                                                                                                                  Definition

                                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                  Control0..1
                                                                                                                  This element is affected by the following invariants: ele-1
                                                                                                                  Typestring
                                                                                                                  Is Modifierfalse
                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                  Summaryfalse
                                                                                                                  50. Composition.attester.extension
                                                                                                                  Definition

                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                  ShortAdditional content defined by implementations
                                                                                                                  Comments

                                                                                                                  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.

                                                                                                                  Control0..*
                                                                                                                  TypeExtension
                                                                                                                  Is Modifierfalse
                                                                                                                  Summaryfalse
                                                                                                                  Alternate Namesextensions, user content
                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                  52. Composition.attester.modifierExtension
                                                                                                                  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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                                                                                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                  ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                  Comments

                                                                                                                  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.

                                                                                                                  Control0..*
                                                                                                                  TypeExtension
                                                                                                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                  Summarytrue
                                                                                                                  Requirements

                                                                                                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                  Alternate Namesextensions, user content, modifiers
                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                  54. Composition.attester.mode
                                                                                                                  Definition

                                                                                                                  The type of attestation the authenticator offers.

                                                                                                                  Shortpersonal | professional | legal | official
                                                                                                                  Control1..1
                                                                                                                  BindingThe codes SHOULD be taken from CompositionAttestationMode
                                                                                                                  (preferred to http://hl7.org/fhir/ValueSet/composition-attestation-mode)

                                                                                                                  The way in which a person authenticated a composition.

                                                                                                                  TypeCodeableConcept
                                                                                                                  Is Modifierfalse
                                                                                                                  Must Supportfalse
                                                                                                                  Summaryfalse
                                                                                                                  Requirements

                                                                                                                  Indicates the level of authority of the attestation.

                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  56. Composition.attester.time
                                                                                                                  Definition

                                                                                                                  When the composition was attested by the party.

                                                                                                                  ShortWhen the composition was attested
                                                                                                                  Control0..1
                                                                                                                  TypedateTime
                                                                                                                  Is Modifierfalse
                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                  Must Supportfalse
                                                                                                                  Summaryfalse
                                                                                                                  Requirements

                                                                                                                  Identifies when the information in the composition was deemed accurate. (Things may have changed since then.).

                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  58. Composition.attester.party
                                                                                                                  Definition

                                                                                                                  Who attested the composition in the specified way.

                                                                                                                  ShortWho attested the composition
                                                                                                                  Control0..1
                                                                                                                  TypeReference(Patient, RelatedPerson, Practitioner, PractitionerRole, Organization)
                                                                                                                  Is Modifierfalse
                                                                                                                  Must Supportfalse
                                                                                                                  Summaryfalse
                                                                                                                  Requirements

                                                                                                                  Identifies who has taken on the responsibility for accuracy of the composition content.

                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  60. Composition.custodian
                                                                                                                  Definition

                                                                                                                  Identifies the organization or group who is responsible for ongoing maintenance of and access to the composition/document information.

                                                                                                                  ShortOrganization which maintains the composition
                                                                                                                  Comments

                                                                                                                  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.

                                                                                                                  Control0..1
                                                                                                                  TypeReference(Organization)
                                                                                                                  Is Modifierfalse
                                                                                                                  Must Supportfalse
                                                                                                                  Summarytrue
                                                                                                                  Requirements

                                                                                                                  Identifies where to go to find the current version, where to report issues, etc.

                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  62. Composition.relatesTo
                                                                                                                  Definition

                                                                                                                  Relationships that this composition has with other compositions or documents that already exist.

                                                                                                                  ShortRelationships to other compositions/documents
                                                                                                                  Comments

                                                                                                                  To reference (using relatesTo) a Bundle of type "document" or another Composition where you only have the identifier, use a resourceReference with an identifier.
                                                                                                                  When a Composition is an alternate representation of another type of document e.g. CDA, the other document could be referenced in a DocumentReference resource.
                                                                                                                  Here is an example of using relatesTo to reference another Bundle of type "document" or Composition where you only have the identifier:

                                                                                                                  "relatesTo": [{
                                                                                                                    "type": "replaces",
                                                                                                                    "resourceReference": {
                                                                                                                      "identifier": { 
                                                                                                                        "system": "...", 
                                                                                                                        "value": "..."
                                                                                                                      }
                                                                                                                    } 
                                                                                                                  }]
                                                                                                                  
                                                                                                                  Control0..*
                                                                                                                  TypeRelatedArtifact
                                                                                                                  Is Modifierfalse
                                                                                                                  Must Supportfalse
                                                                                                                  Summaryfalse
                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  64. Composition.event
                                                                                                                  Definition

                                                                                                                  The clinical service, such as a colonoscopy or an appendectomy, being documented.

                                                                                                                  ShortThe clinical service(s) being documented
                                                                                                                  Comments

                                                                                                                  The event needs to be consistent with the type element, though can provide further information if desired.

                                                                                                                  Control0..*
                                                                                                                  TypeBackboneElement
                                                                                                                  Is Modifierfalse
                                                                                                                  Must Supportfalse
                                                                                                                  Summarytrue
                                                                                                                  Requirements

                                                                                                                  Provides context for the composition and creates a linkage between a resource describing an event and the composition created describing the event.

                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  66. Composition.event.id
                                                                                                                  Definition

                                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                  Control0..1
                                                                                                                  This element is affected by the following invariants: ele-1
                                                                                                                  Typestring
                                                                                                                  Is Modifierfalse
                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                  Summaryfalse
                                                                                                                  68. Composition.event.extension
                                                                                                                  Definition

                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                  ShortAdditional content defined by implementations
                                                                                                                  Comments

                                                                                                                  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.

                                                                                                                  Control0..*
                                                                                                                  TypeExtension
                                                                                                                  Is Modifierfalse
                                                                                                                  Summaryfalse
                                                                                                                  Alternate Namesextensions, user content
                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                  70. Composition.event.modifierExtension
                                                                                                                  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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                                                                                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                  ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                  Comments

                                                                                                                  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.

                                                                                                                  Control0..*
                                                                                                                  TypeExtension
                                                                                                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                  Summarytrue
                                                                                                                  Requirements

                                                                                                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                  Alternate Namesextensions, user content, modifiers
                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                  72. Composition.event.period
                                                                                                                  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.

                                                                                                                  ShortThe period covered by the documentation
                                                                                                                  Control0..1
                                                                                                                  TypePeriod
                                                                                                                  Is Modifierfalse
                                                                                                                  Must Supportfalse
                                                                                                                  Summarytrue
                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  74. Composition.event.detail
                                                                                                                  Definition

                                                                                                                  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 case the procedure being documented is necessarily a "History and Physical" act. The events may be included as a code or as a reference to an other resource.

                                                                                                                  ShortThe event(s) being documented, as code(s), reference(s), or both
                                                                                                                  Comments

                                                                                                                  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 events 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.

                                                                                                                  Control0..*
                                                                                                                  BindingFor example codes, see v3 Code System ActCode
                                                                                                                  (example to http://terminology.hl7.org/ValueSet/v3-ActCode)

                                                                                                                  This list of codes represents the main clinical acts being documented.

                                                                                                                  TypeCodeableReference(Resource)
                                                                                                                  Is Modifierfalse
                                                                                                                  Must Supportfalse
                                                                                                                  Summarytrue
                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  76. Composition.section
                                                                                                                  Definition

                                                                                                                  The root of the sections that make up the composition.

                                                                                                                  ShortComposition is broken into sections
                                                                                                                  Control1..*
                                                                                                                  TypeBackboneElement
                                                                                                                  Is Modifierfalse
                                                                                                                  Must Supportfalse
                                                                                                                  Summaryfalse
                                                                                                                  Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                                                                                                                  cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                                                                                                                  ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  SlicingThis element introduces a set of slices on Composition.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                  • value @ code.coding.code
                                                                                                                  • 78. Composition.section.id
                                                                                                                    Definition

                                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                    ShortUnique id for inter-element referencing
                                                                                                                    Control0..1
                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                    Typestring
                                                                                                                    Is Modifierfalse
                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                    Summaryfalse
                                                                                                                    80. Composition.section.extension
                                                                                                                    Definition

                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                    ShortAdditional content defined by implementations
                                                                                                                    Comments

                                                                                                                    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.

                                                                                                                    Control0..*
                                                                                                                    TypeExtension
                                                                                                                    Is Modifierfalse
                                                                                                                    Summaryfalse
                                                                                                                    Alternate Namesextensions, user content
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                    82. Composition.section.modifierExtension
                                                                                                                    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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                                                                                                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                    ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                    Comments

                                                                                                                    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.

                                                                                                                    Control0..*
                                                                                                                    TypeExtension
                                                                                                                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                    Summarytrue
                                                                                                                    Requirements

                                                                                                                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                    Alternate Namesextensions, user content, modifiers
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                    84. Composition.section.title
                                                                                                                    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.

                                                                                                                    ShortLabel for section (e.g. for ToC)
                                                                                                                    Comments

                                                                                                                    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.

                                                                                                                    Control0..1
                                                                                                                    Typestring
                                                                                                                    Is Modifierfalse
                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                    Must Supportfalse
                                                                                                                    Summaryfalse
                                                                                                                    Requirements

                                                                                                                    Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                    Alternate Namesheader, label, caption
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    86. Composition.section.code
                                                                                                                    Definition

                                                                                                                    A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                    ShortClassification of section (recommended)
                                                                                                                    Comments

                                                                                                                    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.

                                                                                                                    Control0..1
                                                                                                                    BindingFor example codes, see DocumentSectionCodes
                                                                                                                    (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                                                                    Classification of a section of a composition/document.

                                                                                                                    TypeCodeableConcept
                                                                                                                    Is Modifierfalse
                                                                                                                    Must Supportfalse
                                                                                                                    Summaryfalse
                                                                                                                    Requirements

                                                                                                                    Provides computable standardized labels to topics within the document.

                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    88. Composition.section.author
                                                                                                                    Definition

                                                                                                                    Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                    ShortWho and/or what authored the section
                                                                                                                    Control0..*
                                                                                                                    TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                    Is Modifierfalse
                                                                                                                    Must Supportfalse
                                                                                                                    Summaryfalse
                                                                                                                    Requirements

                                                                                                                    Identifies who is responsible for the content.

                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    90. Composition.section.focus
                                                                                                                    Definition

                                                                                                                    The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                    ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                    Comments

                                                                                                                    Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                    Control0..1
                                                                                                                    TypeReference(Resource)
                                                                                                                    Is Modifierfalse
                                                                                                                    Must Supportfalse
                                                                                                                    Summaryfalse
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    92. Composition.section.text
                                                                                                                    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.

                                                                                                                    ShortText summary of the section, for human interpretation
                                                                                                                    Comments

                                                                                                                    Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                    Control0..1
                                                                                                                    This element is affected by the following invariants: cmp-1
                                                                                                                    TypeNarrative
                                                                                                                    Is Modifierfalse
                                                                                                                    Must Supportfalse
                                                                                                                    Summaryfalse
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    94. Composition.section.orderedBy
                                                                                                                    Definition

                                                                                                                    Specifies the order applied to the items in the section entries.

                                                                                                                    ShortOrder of section entries
                                                                                                                    Comments

                                                                                                                    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.

                                                                                                                    Control0..1
                                                                                                                    BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                    (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                                                                                                    What order applies to the items in the entry.

                                                                                                                    TypeCodeableConcept
                                                                                                                    Is Modifierfalse
                                                                                                                    Must Supportfalse
                                                                                                                    Summaryfalse
                                                                                                                    Requirements

                                                                                                                    Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    96. Composition.section.entry
                                                                                                                    Definition

                                                                                                                    A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                    ShortA reference to data that supports this section
                                                                                                                    Comments

                                                                                                                    If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                    Control0..*
                                                                                                                    This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                    TypeReference(Resource)
                                                                                                                    Is Modifierfalse
                                                                                                                    Must Supportfalse
                                                                                                                    Summaryfalse
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    98. Composition.section.emptyReason
                                                                                                                    Definition

                                                                                                                    If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                    ShortWhy the section is empty
                                                                                                                    Comments

                                                                                                                    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.

                                                                                                                    Control0..1
                                                                                                                    This element is affected by the following invariants: cmp-2
                                                                                                                    BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                    (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                                                                                                    If a section is empty, why it is empty.

                                                                                                                    TypeCodeableConcept
                                                                                                                    Is Modifierfalse
                                                                                                                    Must Supportfalse
                                                                                                                    Summaryfalse
                                                                                                                    Requirements

                                                                                                                    Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    100. Composition.section.section
                                                                                                                    Definition

                                                                                                                    A nested sub-section within this section.

                                                                                                                    ShortNested Section
                                                                                                                    Comments

                                                                                                                    Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                    Control0..*
                                                                                                                    TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                    Is Modifierfalse
                                                                                                                    Must Supportfalse
                                                                                                                    Summaryfalse
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    102. Composition.section:QRD-200000029894
                                                                                                                    Slice NameQRD-200000029894
                                                                                                                    Definition

                                                                                                                    The root of the sections that make up the composition.

                                                                                                                    ShortComposition is broken into sections
                                                                                                                    Control1..1
                                                                                                                    TypeBackboneElement
                                                                                                                    Is Modifierfalse
                                                                                                                    Must Supportfalse
                                                                                                                    Summaryfalse
                                                                                                                    Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                                                                                                                    cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                                                                                                                    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    104. Composition.section:QRD-200000029894.id
                                                                                                                    Definition

                                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                    ShortUnique id for inter-element referencing
                                                                                                                    Control0..1
                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                    Typestring
                                                                                                                    Is Modifierfalse
                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                    Summaryfalse
                                                                                                                    106. Composition.section:QRD-200000029894.extension
                                                                                                                    Definition

                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                    ShortAdditional content defined by implementations
                                                                                                                    Comments

                                                                                                                    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.

                                                                                                                    Control0..*
                                                                                                                    TypeExtension
                                                                                                                    Is Modifierfalse
                                                                                                                    Summaryfalse
                                                                                                                    Alternate Namesextensions, user content
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                    108. Composition.section:QRD-200000029894.modifierExtension
                                                                                                                    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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                                                                                                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                    ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                    Comments

                                                                                                                    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.

                                                                                                                    Control0..*
                                                                                                                    TypeExtension
                                                                                                                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                    Summarytrue
                                                                                                                    Requirements

                                                                                                                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                    Alternate Namesextensions, user content, modifiers
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                    110. Composition.section:QRD-200000029894.title
                                                                                                                    Definition

                                                                                                                    Section of level 1 with title PACKAGE LEAFLET and code 200000029894

                                                                                                                    ShortPACKAGE LEAFLET
                                                                                                                    Comments

                                                                                                                    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.

                                                                                                                    Control1..1
                                                                                                                    Typestring
                                                                                                                    Is Modifierfalse
                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                    Must Supportfalse
                                                                                                                    Summaryfalse
                                                                                                                    Requirements

                                                                                                                    Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                    Alternate Namesheader, label, caption
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    112. Composition.section:QRD-200000029894.code
                                                                                                                    Definition

                                                                                                                    A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                    ShortClassification of section (recommended)
                                                                                                                    Comments

                                                                                                                    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.

                                                                                                                    Control1..1
                                                                                                                    BindingFor example codes, see DocumentSectionCodes
                                                                                                                    (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                                                                    Classification of a section of a composition/document.

                                                                                                                    TypeCodeableConcept
                                                                                                                    Is Modifierfalse
                                                                                                                    Must Supportfalse
                                                                                                                    Summaryfalse
                                                                                                                    Requirements

                                                                                                                    Provides computable standardized labels to topics within the document.

                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    114. Composition.section:QRD-200000029894.code.id
                                                                                                                    Definition

                                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                    ShortUnique id for inter-element referencing
                                                                                                                    Control0..1
                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                    Typeid
                                                                                                                    Is Modifierfalse
                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                    Summaryfalse
                                                                                                                    116. Composition.section:QRD-200000029894.code.extension
                                                                                                                    Definition

                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                    ShortAdditional content defined by implementations
                                                                                                                    Comments

                                                                                                                    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.

                                                                                                                    Control0..*
                                                                                                                    TypeExtension
                                                                                                                    Is Modifierfalse
                                                                                                                    Summaryfalse
                                                                                                                    Alternate Namesextensions, user content
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                    SlicingThis element introduces a set of slices on Composition.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                    • value @ url
                                                                                                                    • 118. Composition.section:QRD-200000029894.code.coding
                                                                                                                      Definition

                                                                                                                      A reference to a code defined by a terminology system.

                                                                                                                      ShortCode defined by a terminology system
                                                                                                                      Comments

                                                                                                                      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                      Control0..*
                                                                                                                      TypeCoding
                                                                                                                      Is Modifierfalse
                                                                                                                      Summarytrue
                                                                                                                      Requirements

                                                                                                                      Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                      120. Composition.section:QRD-200000029894.code.coding.id
                                                                                                                      Definition

                                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                      ShortUnique id for inter-element referencing
                                                                                                                      Control0..1
                                                                                                                      This element is affected by the following invariants: ele-1
                                                                                                                      Typeid
                                                                                                                      Is Modifierfalse
                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                      Summaryfalse
                                                                                                                      122. Composition.section:QRD-200000029894.code.coding.extension
                                                                                                                      Definition

                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                      ShortAdditional content defined by implementations
                                                                                                                      Comments

                                                                                                                      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.

                                                                                                                      Control0..*
                                                                                                                      TypeExtension
                                                                                                                      Is Modifierfalse
                                                                                                                      Summaryfalse
                                                                                                                      Alternate Namesextensions, user content
                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                      SlicingThis element introduces a set of slices on Composition.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                      • value @ url
                                                                                                                      • 124. Composition.section:QRD-200000029894.code.coding.system
                                                                                                                        Definition

                                                                                                                        The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                        ShortIdentity of the terminology system
                                                                                                                        Comments

                                                                                                                        The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                        Control1..1
                                                                                                                        Typeuri
                                                                                                                        Is Modifierfalse
                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                        Summarytrue
                                                                                                                        Requirements

                                                                                                                        Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                        Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                        126. Composition.section:QRD-200000029894.code.coding.version
                                                                                                                        Definition

                                                                                                                        The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                        ShortVersion of the system - if relevant
                                                                                                                        Comments

                                                                                                                        Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                        NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                        Control0..1
                                                                                                                        Typestring
                                                                                                                        Is Modifierfalse
                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                        Summarytrue
                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                        128. Composition.section:QRD-200000029894.code.coding.code
                                                                                                                        Definition

                                                                                                                        A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                        ShortSymbol in syntax defined by the system
                                                                                                                        Control1..1
                                                                                                                        This element is affected by the following invariants: cod-1
                                                                                                                        Typecode
                                                                                                                        Is Modifierfalse
                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                        Summarytrue
                                                                                                                        Requirements

                                                                                                                        Need to refer to a particular code in the system.

                                                                                                                        Pattern Value200000029894
                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                        130. Composition.section:QRD-200000029894.code.coding.display
                                                                                                                        Definition

                                                                                                                        A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                        ShortRepresentation defined by the system
                                                                                                                        Control0..1
                                                                                                                        This element is affected by the following invariants: cod-1
                                                                                                                        Typestring
                                                                                                                        Is Modifierfalse
                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                        Summarytrue
                                                                                                                        Requirements

                                                                                                                        Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                        132. Composition.section:QRD-200000029894.code.coding.userSelected
                                                                                                                        Definition

                                                                                                                        Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                        ShortIf this coding was chosen directly by the user
                                                                                                                        Comments

                                                                                                                        Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                        Control0..1
                                                                                                                        Typeboolean
                                                                                                                        Is Modifierfalse
                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                        Summarytrue
                                                                                                                        Requirements

                                                                                                                        This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                        134. Composition.section:QRD-200000029894.code.text
                                                                                                                        Definition

                                                                                                                        A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                        ShortPlain text representation of the concept
                                                                                                                        Comments

                                                                                                                        Very often the text is the same as a displayName of one of the codings.

                                                                                                                        Control0..1
                                                                                                                        Typestring
                                                                                                                        Is Modifierfalse
                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                        Summarytrue
                                                                                                                        Requirements

                                                                                                                        The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                        136. Composition.section:QRD-200000029894.author
                                                                                                                        Definition

                                                                                                                        Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                        ShortWho and/or what authored the section
                                                                                                                        Control0..*
                                                                                                                        TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                        Is Modifierfalse
                                                                                                                        Must Supportfalse
                                                                                                                        Summaryfalse
                                                                                                                        Requirements

                                                                                                                        Identifies who is responsible for the content.

                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                        138. Composition.section:QRD-200000029894.focus
                                                                                                                        Definition

                                                                                                                        The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                        ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                        Comments

                                                                                                                        Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                        Control0..1
                                                                                                                        TypeReference(Resource)
                                                                                                                        Is Modifierfalse
                                                                                                                        Must Supportfalse
                                                                                                                        Summaryfalse
                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                        140. Composition.section:QRD-200000029894.text
                                                                                                                        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.

                                                                                                                        ShortText summary of the section, for human interpretation
                                                                                                                        Comments

                                                                                                                        Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                        Control0..1
                                                                                                                        This element is affected by the following invariants: cmp-1
                                                                                                                        TypeNarrative
                                                                                                                        Is Modifierfalse
                                                                                                                        Must Supportfalse
                                                                                                                        Summaryfalse
                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                        142. Composition.section:QRD-200000029894.orderedBy
                                                                                                                        Definition

                                                                                                                        Specifies the order applied to the items in the section entries.

                                                                                                                        ShortOrder of section entries
                                                                                                                        Comments

                                                                                                                        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.

                                                                                                                        Control0..1
                                                                                                                        BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                        (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                                                                                                        What order applies to the items in the entry.

                                                                                                                        TypeCodeableConcept
                                                                                                                        Is Modifierfalse
                                                                                                                        Must Supportfalse
                                                                                                                        Summaryfalse
                                                                                                                        Requirements

                                                                                                                        Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                        144. Composition.section:QRD-200000029894.entry
                                                                                                                        Definition

                                                                                                                        A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                        ShortA reference to data that supports this section
                                                                                                                        Comments

                                                                                                                        If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                        Control0..*
                                                                                                                        This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                        TypeReference(Resource)
                                                                                                                        Is Modifierfalse
                                                                                                                        Must Supportfalse
                                                                                                                        Summaryfalse
                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                        146. Composition.section:QRD-200000029894.emptyReason
                                                                                                                        Definition

                                                                                                                        If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                        ShortWhy the section is empty
                                                                                                                        Comments

                                                                                                                        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.

                                                                                                                        Control0..1
                                                                                                                        This element is affected by the following invariants: cmp-2
                                                                                                                        BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                        (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                                                                                                        If a section is empty, why it is empty.

                                                                                                                        TypeCodeableConcept
                                                                                                                        Is Modifierfalse
                                                                                                                        Must Supportfalse
                                                                                                                        Summaryfalse
                                                                                                                        Requirements

                                                                                                                        Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                        148. Composition.section:QRD-200000029894.section
                                                                                                                        Definition

                                                                                                                        A nested sub-section within this section.

                                                                                                                        ShortNested Section
                                                                                                                        Comments

                                                                                                                        Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                        Control6..*
                                                                                                                        TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                        Is Modifierfalse
                                                                                                                        Must Supportfalse
                                                                                                                        Summaryfalse
                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                        SlicingThis element introduces a set of slices on Composition.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                        • value @ code.coding.code
                                                                                                                        • 150. Composition.section:QRD-200000029894.section:QRD-200000029895
                                                                                                                          Slice NameQRD-200000029895
                                                                                                                          Definition

                                                                                                                          A nested sub-section within this section.

                                                                                                                          ShortNested Section
                                                                                                                          Comments

                                                                                                                          Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                          Control1..1
                                                                                                                          TypeBackboneElement
                                                                                                                          Is Modifierfalse
                                                                                                                          Must Supportfalse
                                                                                                                          Summaryfalse
                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                          152. Composition.section:QRD-200000029894.section:QRD-200000029895.id
                                                                                                                          Definition

                                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                          ShortUnique id for inter-element referencing
                                                                                                                          Control0..1
                                                                                                                          This element is affected by the following invariants: ele-1
                                                                                                                          Typestring
                                                                                                                          Is Modifierfalse
                                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                          Summaryfalse
                                                                                                                          154. Composition.section:QRD-200000029894.section:QRD-200000029895.extension
                                                                                                                          Definition

                                                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                          ShortAdditional content defined by implementations
                                                                                                                          Comments

                                                                                                                          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.

                                                                                                                          Control0..*
                                                                                                                          TypeExtension
                                                                                                                          Is Modifierfalse
                                                                                                                          Summaryfalse
                                                                                                                          Alternate Namesextensions, user content
                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                          156. Composition.section:QRD-200000029894.section:QRD-200000029895.modifierExtension
                                                                                                                          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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                                                                                                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                          ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                          Comments

                                                                                                                          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.

                                                                                                                          Control0..*
                                                                                                                          TypeExtension
                                                                                                                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                          Summarytrue
                                                                                                                          Requirements

                                                                                                                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                          Alternate Namesextensions, user content, modifiers
                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                          158. Composition.section:QRD-200000029894.section:QRD-200000029895.title
                                                                                                                          Definition

                                                                                                                          Section of level 2 with title 1. What X is and what it is used for and code 200000029895

                                                                                                                          Short1. What X is and what it is used for
                                                                                                                          Comments

                                                                                                                          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.

                                                                                                                          Control1..1
                                                                                                                          Typestring
                                                                                                                          Is Modifierfalse
                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                          Must Supportfalse
                                                                                                                          Summaryfalse
                                                                                                                          Requirements

                                                                                                                          Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                          Alternate Namesheader, label, caption
                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                          160. Composition.section:QRD-200000029894.section:QRD-200000029895.code
                                                                                                                          Definition

                                                                                                                          A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                          ShortClassification of section (recommended)
                                                                                                                          Comments

                                                                                                                          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.

                                                                                                                          Control1..1
                                                                                                                          BindingFor example codes, see DocumentSectionCodes
                                                                                                                          (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                                                                          Classification of a section of a composition/document.

                                                                                                                          TypeCodeableConcept
                                                                                                                          Is Modifierfalse
                                                                                                                          Must Supportfalse
                                                                                                                          Summaryfalse
                                                                                                                          Requirements

                                                                                                                          Provides computable standardized labels to topics within the document.

                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                          162. Composition.section:QRD-200000029894.section:QRD-200000029895.code.id
                                                                                                                          Definition

                                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                          ShortUnique id for inter-element referencing
                                                                                                                          Control0..1
                                                                                                                          This element is affected by the following invariants: ele-1
                                                                                                                          Typeid
                                                                                                                          Is Modifierfalse
                                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                          Summaryfalse
                                                                                                                          164. Composition.section:QRD-200000029894.section:QRD-200000029895.code.extension
                                                                                                                          Definition

                                                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                          ShortAdditional content defined by implementations
                                                                                                                          Comments

                                                                                                                          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.

                                                                                                                          Control0..*
                                                                                                                          TypeExtension
                                                                                                                          Is Modifierfalse
                                                                                                                          Summaryfalse
                                                                                                                          Alternate Namesextensions, user content
                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                          SlicingThis element introduces a set of slices on Composition.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                          • value @ url
                                                                                                                          • 166. Composition.section:QRD-200000029894.section:QRD-200000029895.code.coding
                                                                                                                            Definition

                                                                                                                            A reference to a code defined by a terminology system.

                                                                                                                            ShortCode defined by a terminology system
                                                                                                                            Comments

                                                                                                                            Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                            Control0..*
                                                                                                                            TypeCoding
                                                                                                                            Is Modifierfalse
                                                                                                                            Summarytrue
                                                                                                                            Requirements

                                                                                                                            Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                            168. Composition.section:QRD-200000029894.section:QRD-200000029895.code.coding.id
                                                                                                                            Definition

                                                                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                            ShortUnique id for inter-element referencing
                                                                                                                            Control0..1
                                                                                                                            This element is affected by the following invariants: ele-1
                                                                                                                            Typeid
                                                                                                                            Is Modifierfalse
                                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                            Summaryfalse
                                                                                                                            170. Composition.section:QRD-200000029894.section:QRD-200000029895.code.coding.extension
                                                                                                                            Definition

                                                                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                            ShortAdditional content defined by implementations
                                                                                                                            Comments

                                                                                                                            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.

                                                                                                                            Control0..*
                                                                                                                            TypeExtension
                                                                                                                            Is Modifierfalse
                                                                                                                            Summaryfalse
                                                                                                                            Alternate Namesextensions, user content
                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                            SlicingThis element introduces a set of slices on Composition.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                            • value @ url
                                                                                                                            • 172. Composition.section:QRD-200000029894.section:QRD-200000029895.code.coding.system
                                                                                                                              Definition

                                                                                                                              The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                              ShortIdentity of the terminology system
                                                                                                                              Comments

                                                                                                                              The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                              Control1..1
                                                                                                                              Typeuri
                                                                                                                              Is Modifierfalse
                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                              Summarytrue
                                                                                                                              Requirements

                                                                                                                              Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                              Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              174. Composition.section:QRD-200000029894.section:QRD-200000029895.code.coding.version
                                                                                                                              Definition

                                                                                                                              The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                              ShortVersion of the system - if relevant
                                                                                                                              Comments

                                                                                                                              Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                              NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                              Control0..1
                                                                                                                              Typestring
                                                                                                                              Is Modifierfalse
                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                              Summarytrue
                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              176. Composition.section:QRD-200000029894.section:QRD-200000029895.code.coding.code
                                                                                                                              Definition

                                                                                                                              A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                              ShortSymbol in syntax defined by the system
                                                                                                                              Control1..1
                                                                                                                              This element is affected by the following invariants: cod-1
                                                                                                                              Typecode
                                                                                                                              Is Modifierfalse
                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                              Summarytrue
                                                                                                                              Requirements

                                                                                                                              Need to refer to a particular code in the system.

                                                                                                                              Pattern Value200000029895
                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              178. Composition.section:QRD-200000029894.section:QRD-200000029895.code.coding.display
                                                                                                                              Definition

                                                                                                                              A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                              ShortRepresentation defined by the system
                                                                                                                              Control0..1
                                                                                                                              This element is affected by the following invariants: cod-1
                                                                                                                              Typestring
                                                                                                                              Is Modifierfalse
                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                              Summarytrue
                                                                                                                              Requirements

                                                                                                                              Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              180. Composition.section:QRD-200000029894.section:QRD-200000029895.code.coding.userSelected
                                                                                                                              Definition

                                                                                                                              Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                              ShortIf this coding was chosen directly by the user
                                                                                                                              Comments

                                                                                                                              Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                              Control0..1
                                                                                                                              Typeboolean
                                                                                                                              Is Modifierfalse
                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                              Summarytrue
                                                                                                                              Requirements

                                                                                                                              This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              182. Composition.section:QRD-200000029894.section:QRD-200000029895.code.text
                                                                                                                              Definition

                                                                                                                              A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                              ShortPlain text representation of the concept
                                                                                                                              Comments

                                                                                                                              Very often the text is the same as a displayName of one of the codings.

                                                                                                                              Control0..1
                                                                                                                              Typestring
                                                                                                                              Is Modifierfalse
                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                              Summarytrue
                                                                                                                              Requirements

                                                                                                                              The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              184. Composition.section:QRD-200000029894.section:QRD-200000029895.author
                                                                                                                              Definition

                                                                                                                              Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                              ShortWho and/or what authored the section
                                                                                                                              Control0..*
                                                                                                                              TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                              Is Modifierfalse
                                                                                                                              Must Supportfalse
                                                                                                                              Summaryfalse
                                                                                                                              Requirements

                                                                                                                              Identifies who is responsible for the content.

                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              186. Composition.section:QRD-200000029894.section:QRD-200000029895.focus
                                                                                                                              Definition

                                                                                                                              The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                              ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                              Comments

                                                                                                                              Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                              Control0..1
                                                                                                                              TypeReference(Resource)
                                                                                                                              Is Modifierfalse
                                                                                                                              Must Supportfalse
                                                                                                                              Summaryfalse
                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              188. Composition.section:QRD-200000029894.section:QRD-200000029895.text
                                                                                                                              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.

                                                                                                                              ShortText summary of the section, for human interpretation
                                                                                                                              Comments

                                                                                                                              Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                              Control0..1
                                                                                                                              This element is affected by the following invariants: cmp-1
                                                                                                                              TypeNarrative
                                                                                                                              Is Modifierfalse
                                                                                                                              Must Supportfalse
                                                                                                                              Summaryfalse
                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              190. Composition.section:QRD-200000029894.section:QRD-200000029895.orderedBy
                                                                                                                              Definition

                                                                                                                              Specifies the order applied to the items in the section entries.

                                                                                                                              ShortOrder of section entries
                                                                                                                              Comments

                                                                                                                              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.

                                                                                                                              Control0..1
                                                                                                                              BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                              (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                                                                                                              What order applies to the items in the entry.

                                                                                                                              TypeCodeableConcept
                                                                                                                              Is Modifierfalse
                                                                                                                              Must Supportfalse
                                                                                                                              Summaryfalse
                                                                                                                              Requirements

                                                                                                                              Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              192. Composition.section:QRD-200000029894.section:QRD-200000029895.entry
                                                                                                                              Definition

                                                                                                                              A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                              ShortA reference to data that supports this section
                                                                                                                              Comments

                                                                                                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                              Control0..*
                                                                                                                              This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                              TypeReference(Resource)
                                                                                                                              Is Modifierfalse
                                                                                                                              Must Supportfalse
                                                                                                                              Summaryfalse
                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              194. Composition.section:QRD-200000029894.section:QRD-200000029895.emptyReason
                                                                                                                              Definition

                                                                                                                              If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                              ShortWhy the section is empty
                                                                                                                              Comments

                                                                                                                              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.

                                                                                                                              Control0..1
                                                                                                                              This element is affected by the following invariants: cmp-2
                                                                                                                              BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                              (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                                                                                                              If a section is empty, why it is empty.

                                                                                                                              TypeCodeableConcept
                                                                                                                              Is Modifierfalse
                                                                                                                              Must Supportfalse
                                                                                                                              Summaryfalse
                                                                                                                              Requirements

                                                                                                                              Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              196. Composition.section:QRD-200000029894.section:QRD-200000029895.section
                                                                                                                              Definition

                                                                                                                              A nested sub-section within this section.

                                                                                                                              ShortNested Section
                                                                                                                              Comments

                                                                                                                              Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                              Control0..*
                                                                                                                              TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                              Is Modifierfalse
                                                                                                                              Must Supportfalse
                                                                                                                              Summaryfalse
                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              SlicingThis element introduces a set of slices on Composition.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                              • value @ code.coding.code
                                                                                                                              • 198. Composition.section:QRD-200000029894.section:QRD-200000029895.section:QRD-200000029895-Blanksubsections
                                                                                                                                Slice NameQRD-200000029895-Blanksubsections
                                                                                                                                Definition

                                                                                                                                A nested sub-section within this section.

                                                                                                                                ShortNested Section
                                                                                                                                Comments

                                                                                                                                Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                Control0..*
                                                                                                                                TypeBackboneElement
                                                                                                                                Is Modifierfalse
                                                                                                                                Must Supportfalse
                                                                                                                                Summaryfalse
                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                200. Composition.section:QRD-200000029894.section:QRD-200000029895.section:QRD-200000029895-Blanksubsections.id
                                                                                                                                Definition

                                                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                ShortUnique id for inter-element referencing
                                                                                                                                Control0..1
                                                                                                                                This element is affected by the following invariants: ele-1
                                                                                                                                Typestring
                                                                                                                                Is Modifierfalse
                                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                Summaryfalse
                                                                                                                                202. Composition.section:QRD-200000029894.section:QRD-200000029895.section:QRD-200000029895-Blanksubsections.extension
                                                                                                                                Definition

                                                                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                ShortAdditional content defined by implementations
                                                                                                                                Comments

                                                                                                                                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.

                                                                                                                                Control0..*
                                                                                                                                TypeExtension
                                                                                                                                Is Modifierfalse
                                                                                                                                Summaryfalse
                                                                                                                                Alternate Namesextensions, user content
                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                204. Composition.section:QRD-200000029894.section:QRD-200000029895.section:QRD-200000029895-Blanksubsections.modifierExtension
                                                                                                                                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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                                                                                                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                Comments

                                                                                                                                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.

                                                                                                                                Control0..*
                                                                                                                                TypeExtension
                                                                                                                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                Summarytrue
                                                                                                                                Requirements

                                                                                                                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                Alternate Namesextensions, user content, modifiers
                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                206. Composition.section:QRD-200000029894.section:QRD-200000029895.section:QRD-200000029895-Blanksubsections.title
                                                                                                                                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.

                                                                                                                                ShortLabel for section (e.g. for ToC)
                                                                                                                                Comments

                                                                                                                                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.

                                                                                                                                Control1..1
                                                                                                                                Typestring
                                                                                                                                Is Modifierfalse
                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                Must Supportfalse
                                                                                                                                Summaryfalse
                                                                                                                                Requirements

                                                                                                                                Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                Alternate Namesheader, label, caption
                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                208. Composition.section:QRD-200000029894.section:QRD-200000029895.section:QRD-200000029895-Blanksubsections.code
                                                                                                                                Definition

                                                                                                                                A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                ShortClassification of section (recommended)
                                                                                                                                Comments

                                                                                                                                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.

                                                                                                                                Control1..1
                                                                                                                                BindingFor example codes, see DocumentSectionCodes
                                                                                                                                (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                                                                                Classification of a section of a composition/document.

                                                                                                                                TypeCodeableConcept
                                                                                                                                Is Modifierfalse
                                                                                                                                Must Supportfalse
                                                                                                                                Summaryfalse
                                                                                                                                Requirements

                                                                                                                                Provides computable standardized labels to topics within the document.

                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                210. Composition.section:QRD-200000029894.section:QRD-200000029895.section:QRD-200000029895-Blanksubsections.code.id
                                                                                                                                Definition

                                                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                ShortUnique id for inter-element referencing
                                                                                                                                Control0..1
                                                                                                                                This element is affected by the following invariants: ele-1
                                                                                                                                Typeid
                                                                                                                                Is Modifierfalse
                                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                Summaryfalse
                                                                                                                                212. Composition.section:QRD-200000029894.section:QRD-200000029895.section:QRD-200000029895-Blanksubsections.code.extension
                                                                                                                                Definition

                                                                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                ShortAdditional content defined by implementations
                                                                                                                                Comments

                                                                                                                                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.

                                                                                                                                Control0..*
                                                                                                                                TypeExtension
                                                                                                                                Is Modifierfalse
                                                                                                                                Summaryfalse
                                                                                                                                Alternate Namesextensions, user content
                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                • value @ url
                                                                                                                                • 214. Composition.section:QRD-200000029894.section:QRD-200000029895.section:QRD-200000029895-Blanksubsections.code.coding
                                                                                                                                  Definition

                                                                                                                                  A reference to a code defined by a terminology system.

                                                                                                                                  ShortCode defined by a terminology system
                                                                                                                                  Comments

                                                                                                                                  Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                  Control0..*
                                                                                                                                  TypeCoding
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Summarytrue
                                                                                                                                  Requirements

                                                                                                                                  Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  216. Composition.section:QRD-200000029894.section:QRD-200000029895.section:QRD-200000029895-Blanksubsections.code.coding.id
                                                                                                                                  Definition

                                                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                                  Control0..1
                                                                                                                                  This element is affected by the following invariants: ele-1
                                                                                                                                  Typeid
                                                                                                                                  Is Modifierfalse
                                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                  Summaryfalse
                                                                                                                                  218. Composition.section:QRD-200000029894.section:QRD-200000029895.section:QRD-200000029895-Blanksubsections.code.coding.extension
                                                                                                                                  Definition

                                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                  ShortAdditional content defined by implementations
                                                                                                                                  Comments

                                                                                                                                  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.

                                                                                                                                  Control0..*
                                                                                                                                  TypeExtension
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Summaryfalse
                                                                                                                                  Alternate Namesextensions, user content
                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                  SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                  • value @ url
                                                                                                                                  • 220. Composition.section:QRD-200000029894.section:QRD-200000029895.section:QRD-200000029895-Blanksubsections.code.coding.system
                                                                                                                                    Definition

                                                                                                                                    The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                    ShortIdentity of the terminology system
                                                                                                                                    Comments

                                                                                                                                    The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                    Control1..1
                                                                                                                                    Typeuri
                                                                                                                                    Is Modifierfalse
                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                    Summarytrue
                                                                                                                                    Requirements

                                                                                                                                    Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                    Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                    222. Composition.section:QRD-200000029894.section:QRD-200000029895.section:QRD-200000029895-Blanksubsections.code.coding.version
                                                                                                                                    Definition

                                                                                                                                    The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                    ShortVersion of the system - if relevant
                                                                                                                                    Comments

                                                                                                                                    Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                    NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                    Control0..1
                                                                                                                                    Typestring
                                                                                                                                    Is Modifierfalse
                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                    Summarytrue
                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                    224. Composition.section:QRD-200000029894.section:QRD-200000029895.section:QRD-200000029895-Blanksubsections.code.coding.code
                                                                                                                                    Definition

                                                                                                                                    A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                    ShortSymbol in syntax defined by the system
                                                                                                                                    Control1..1
                                                                                                                                    This element is affected by the following invariants: cod-1
                                                                                                                                    Typecode
                                                                                                                                    Is Modifierfalse
                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                    Summarytrue
                                                                                                                                    Requirements

                                                                                                                                    Need to refer to a particular code in the system.

                                                                                                                                    Pattern Value200000044346
                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                    226. Composition.section:QRD-200000029894.section:QRD-200000029895.section:QRD-200000029895-Blanksubsections.code.coding.display
                                                                                                                                    Definition

                                                                                                                                    A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                    ShortRepresentation defined by the system
                                                                                                                                    Control0..1
                                                                                                                                    This element is affected by the following invariants: cod-1
                                                                                                                                    Typestring
                                                                                                                                    Is Modifierfalse
                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                    Summarytrue
                                                                                                                                    Requirements

                                                                                                                                    Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                    228. Composition.section:QRD-200000029894.section:QRD-200000029895.section:QRD-200000029895-Blanksubsections.code.coding.userSelected
                                                                                                                                    Definition

                                                                                                                                    Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                    ShortIf this coding was chosen directly by the user
                                                                                                                                    Comments

                                                                                                                                    Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                    Control0..1
                                                                                                                                    Typeboolean
                                                                                                                                    Is Modifierfalse
                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                    Summarytrue
                                                                                                                                    Requirements

                                                                                                                                    This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                    230. Composition.section:QRD-200000029894.section:QRD-200000029895.section:QRD-200000029895-Blanksubsections.code.text
                                                                                                                                    Definition

                                                                                                                                    A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                    ShortPlain text representation of the concept
                                                                                                                                    Comments

                                                                                                                                    Very often the text is the same as a displayName of one of the codings.

                                                                                                                                    Control0..1
                                                                                                                                    Typestring
                                                                                                                                    Is Modifierfalse
                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                    Summarytrue
                                                                                                                                    Requirements

                                                                                                                                    The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                    232. Composition.section:QRD-200000029894.section:QRD-200000029895.section:QRD-200000029895-Blanksubsections.author
                                                                                                                                    Definition

                                                                                                                                    Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                    ShortWho and/or what authored the section
                                                                                                                                    Control0..*
                                                                                                                                    TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                    Is Modifierfalse
                                                                                                                                    Must Supportfalse
                                                                                                                                    Summaryfalse
                                                                                                                                    Requirements

                                                                                                                                    Identifies who is responsible for the content.

                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                    234. Composition.section:QRD-200000029894.section:QRD-200000029895.section:QRD-200000029895-Blanksubsections.focus
                                                                                                                                    Definition

                                                                                                                                    The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                    ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                    Comments

                                                                                                                                    Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                    Control0..1
                                                                                                                                    TypeReference(Resource)
                                                                                                                                    Is Modifierfalse
                                                                                                                                    Must Supportfalse
                                                                                                                                    Summaryfalse
                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                    236. Composition.section:QRD-200000029894.section:QRD-200000029895.section:QRD-200000029895-Blanksubsections.text
                                                                                                                                    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.

                                                                                                                                    ShortText summary of the section, for human interpretation
                                                                                                                                    Comments

                                                                                                                                    Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                    Control0..1
                                                                                                                                    This element is affected by the following invariants: cmp-1
                                                                                                                                    TypeNarrative
                                                                                                                                    Is Modifierfalse
                                                                                                                                    Must Supportfalse
                                                                                                                                    Summaryfalse
                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                    238. Composition.section:QRD-200000029894.section:QRD-200000029895.section:QRD-200000029895-Blanksubsections.orderedBy
                                                                                                                                    Definition

                                                                                                                                    Specifies the order applied to the items in the section entries.

                                                                                                                                    ShortOrder of section entries
                                                                                                                                    Comments

                                                                                                                                    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.

                                                                                                                                    Control0..1
                                                                                                                                    BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                    (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                                                                                                                    What order applies to the items in the entry.

                                                                                                                                    TypeCodeableConcept
                                                                                                                                    Is Modifierfalse
                                                                                                                                    Must Supportfalse
                                                                                                                                    Summaryfalse
                                                                                                                                    Requirements

                                                                                                                                    Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                    240. Composition.section:QRD-200000029894.section:QRD-200000029895.section:QRD-200000029895-Blanksubsections.entry
                                                                                                                                    Definition

                                                                                                                                    A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                    ShortA reference to data that supports this section
                                                                                                                                    Comments

                                                                                                                                    If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                    Control0..*
                                                                                                                                    This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                    TypeReference(Resource)
                                                                                                                                    Is Modifierfalse
                                                                                                                                    Must Supportfalse
                                                                                                                                    Summaryfalse
                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                    242. Composition.section:QRD-200000029894.section:QRD-200000029895.section:QRD-200000029895-Blanksubsections.emptyReason
                                                                                                                                    Definition

                                                                                                                                    If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                    ShortWhy the section is empty
                                                                                                                                    Comments

                                                                                                                                    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.

                                                                                                                                    Control0..1
                                                                                                                                    This element is affected by the following invariants: cmp-2
                                                                                                                                    BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                    (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                                                                                                                    If a section is empty, why it is empty.

                                                                                                                                    TypeCodeableConcept
                                                                                                                                    Is Modifierfalse
                                                                                                                                    Must Supportfalse
                                                                                                                                    Summaryfalse
                                                                                                                                    Requirements

                                                                                                                                    Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                    244. Composition.section:QRD-200000029894.section:QRD-200000029895.section:QRD-200000029895-Blanksubsections.section
                                                                                                                                    Definition

                                                                                                                                    A nested sub-section within this section.

                                                                                                                                    ShortNested Section
                                                                                                                                    Comments

                                                                                                                                    Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                    Control0..*
                                                                                                                                    TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                    Is Modifierfalse
                                                                                                                                    Must Supportfalse
                                                                                                                                    Summaryfalse
                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                    246. Composition.section:QRD-200000029894.section:QRD-200000029896
                                                                                                                                    Slice NameQRD-200000029896
                                                                                                                                    Definition

                                                                                                                                    A nested sub-section within this section.

                                                                                                                                    ShortNested Section
                                                                                                                                    Comments

                                                                                                                                    Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                    Control1..1
                                                                                                                                    TypeBackboneElement
                                                                                                                                    Is Modifierfalse
                                                                                                                                    Must Supportfalse
                                                                                                                                    Summaryfalse
                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                    248. Composition.section:QRD-200000029894.section:QRD-200000029896.id
                                                                                                                                    Definition

                                                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                    ShortUnique id for inter-element referencing
                                                                                                                                    Control0..1
                                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                                    Typestring
                                                                                                                                    Is Modifierfalse
                                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                    Summaryfalse
                                                                                                                                    250. Composition.section:QRD-200000029894.section:QRD-200000029896.extension
                                                                                                                                    Definition

                                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                    ShortAdditional content defined by implementations
                                                                                                                                    Comments

                                                                                                                                    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.

                                                                                                                                    Control0..*
                                                                                                                                    TypeExtension
                                                                                                                                    Is Modifierfalse
                                                                                                                                    Summaryfalse
                                                                                                                                    Alternate Namesextensions, user content
                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                    252. Composition.section:QRD-200000029894.section:QRD-200000029896.modifierExtension
                                                                                                                                    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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                                                                                                                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                    ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                    Comments

                                                                                                                                    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.

                                                                                                                                    Control0..*
                                                                                                                                    TypeExtension
                                                                                                                                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                    Summarytrue
                                                                                                                                    Requirements

                                                                                                                                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                    Alternate Namesextensions, user content, modifiers
                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                    254. Composition.section:QRD-200000029894.section:QRD-200000029896.title
                                                                                                                                    Definition

                                                                                                                                    Section of level 2 with title 2. What you need to know before you take use X and code 200000029896

                                                                                                                                    Short2. What you need to know before you take use X
                                                                                                                                    Comments

                                                                                                                                    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.

                                                                                                                                    Control1..1
                                                                                                                                    Typestring
                                                                                                                                    Is Modifierfalse
                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                    Must Supportfalse
                                                                                                                                    Summaryfalse
                                                                                                                                    Requirements

                                                                                                                                    Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                    Alternate Namesheader, label, caption
                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                    256. Composition.section:QRD-200000029894.section:QRD-200000029896.code
                                                                                                                                    Definition

                                                                                                                                    A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                    ShortClassification of section (recommended)
                                                                                                                                    Comments

                                                                                                                                    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.

                                                                                                                                    Control1..1
                                                                                                                                    BindingFor example codes, see DocumentSectionCodes
                                                                                                                                    (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                                                                                    Classification of a section of a composition/document.

                                                                                                                                    TypeCodeableConcept
                                                                                                                                    Is Modifierfalse
                                                                                                                                    Must Supportfalse
                                                                                                                                    Summaryfalse
                                                                                                                                    Requirements

                                                                                                                                    Provides computable standardized labels to topics within the document.

                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                    258. Composition.section:QRD-200000029894.section:QRD-200000029896.code.id
                                                                                                                                    Definition

                                                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                    ShortUnique id for inter-element referencing
                                                                                                                                    Control0..1
                                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                                    Typeid
                                                                                                                                    Is Modifierfalse
                                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                    Summaryfalse
                                                                                                                                    260. Composition.section:QRD-200000029894.section:QRD-200000029896.code.extension
                                                                                                                                    Definition

                                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                    ShortAdditional content defined by implementations
                                                                                                                                    Comments

                                                                                                                                    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.

                                                                                                                                    Control0..*
                                                                                                                                    TypeExtension
                                                                                                                                    Is Modifierfalse
                                                                                                                                    Summaryfalse
                                                                                                                                    Alternate Namesextensions, user content
                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                    SlicingThis element introduces a set of slices on Composition.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                    • value @ url
                                                                                                                                    • 262. Composition.section:QRD-200000029894.section:QRD-200000029896.code.coding
                                                                                                                                      Definition

                                                                                                                                      A reference to a code defined by a terminology system.

                                                                                                                                      ShortCode defined by a terminology system
                                                                                                                                      Comments

                                                                                                                                      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                      Control0..*
                                                                                                                                      TypeCoding
                                                                                                                                      Is Modifierfalse
                                                                                                                                      Summarytrue
                                                                                                                                      Requirements

                                                                                                                                      Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                      264. Composition.section:QRD-200000029894.section:QRD-200000029896.code.coding.id
                                                                                                                                      Definition

                                                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                      ShortUnique id for inter-element referencing
                                                                                                                                      Control0..1
                                                                                                                                      This element is affected by the following invariants: ele-1
                                                                                                                                      Typeid
                                                                                                                                      Is Modifierfalse
                                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                      Summaryfalse
                                                                                                                                      266. Composition.section:QRD-200000029894.section:QRD-200000029896.code.coding.extension
                                                                                                                                      Definition

                                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                      ShortAdditional content defined by implementations
                                                                                                                                      Comments

                                                                                                                                      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.

                                                                                                                                      Control0..*
                                                                                                                                      TypeExtension
                                                                                                                                      Is Modifierfalse
                                                                                                                                      Summaryfalse
                                                                                                                                      Alternate Namesextensions, user content
                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                      SlicingThis element introduces a set of slices on Composition.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                      • value @ url
                                                                                                                                      • 268. Composition.section:QRD-200000029894.section:QRD-200000029896.code.coding.system
                                                                                                                                        Definition

                                                                                                                                        The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                        ShortIdentity of the terminology system
                                                                                                                                        Comments

                                                                                                                                        The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                        Control1..1
                                                                                                                                        Typeuri
                                                                                                                                        Is Modifierfalse
                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                        Summarytrue
                                                                                                                                        Requirements

                                                                                                                                        Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                        Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                        270. Composition.section:QRD-200000029894.section:QRD-200000029896.code.coding.version
                                                                                                                                        Definition

                                                                                                                                        The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                        ShortVersion of the system - if relevant
                                                                                                                                        Comments

                                                                                                                                        Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                        NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                        Control0..1
                                                                                                                                        Typestring
                                                                                                                                        Is Modifierfalse
                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                        Summarytrue
                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                        272. Composition.section:QRD-200000029894.section:QRD-200000029896.code.coding.code
                                                                                                                                        Definition

                                                                                                                                        A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                        ShortSymbol in syntax defined by the system
                                                                                                                                        Control1..1
                                                                                                                                        This element is affected by the following invariants: cod-1
                                                                                                                                        Typecode
                                                                                                                                        Is Modifierfalse
                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                        Summarytrue
                                                                                                                                        Requirements

                                                                                                                                        Need to refer to a particular code in the system.

                                                                                                                                        Pattern Value200000029896
                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                        274. Composition.section:QRD-200000029894.section:QRD-200000029896.code.coding.display
                                                                                                                                        Definition

                                                                                                                                        A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                        ShortRepresentation defined by the system
                                                                                                                                        Control0..1
                                                                                                                                        This element is affected by the following invariants: cod-1
                                                                                                                                        Typestring
                                                                                                                                        Is Modifierfalse
                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                        Summarytrue
                                                                                                                                        Requirements

                                                                                                                                        Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                        276. Composition.section:QRD-200000029894.section:QRD-200000029896.code.coding.userSelected
                                                                                                                                        Definition

                                                                                                                                        Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                        ShortIf this coding was chosen directly by the user
                                                                                                                                        Comments

                                                                                                                                        Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                        Control0..1
                                                                                                                                        Typeboolean
                                                                                                                                        Is Modifierfalse
                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                        Summarytrue
                                                                                                                                        Requirements

                                                                                                                                        This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                        278. Composition.section:QRD-200000029894.section:QRD-200000029896.code.text
                                                                                                                                        Definition

                                                                                                                                        A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                        ShortPlain text representation of the concept
                                                                                                                                        Comments

                                                                                                                                        Very often the text is the same as a displayName of one of the codings.

                                                                                                                                        Control0..1
                                                                                                                                        Typestring
                                                                                                                                        Is Modifierfalse
                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                        Summarytrue
                                                                                                                                        Requirements

                                                                                                                                        The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                        280. Composition.section:QRD-200000029894.section:QRD-200000029896.author
                                                                                                                                        Definition

                                                                                                                                        Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                        ShortWho and/or what authored the section
                                                                                                                                        Control0..*
                                                                                                                                        TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                        Is Modifierfalse
                                                                                                                                        Must Supportfalse
                                                                                                                                        Summaryfalse
                                                                                                                                        Requirements

                                                                                                                                        Identifies who is responsible for the content.

                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                        282. Composition.section:QRD-200000029894.section:QRD-200000029896.focus
                                                                                                                                        Definition

                                                                                                                                        The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                        ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                        Comments

                                                                                                                                        Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                        Control0..1
                                                                                                                                        TypeReference(Resource)
                                                                                                                                        Is Modifierfalse
                                                                                                                                        Must Supportfalse
                                                                                                                                        Summaryfalse
                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                        284. Composition.section:QRD-200000029894.section:QRD-200000029896.text
                                                                                                                                        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.

                                                                                                                                        ShortText summary of the section, for human interpretation
                                                                                                                                        Comments

                                                                                                                                        Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                        Control0..1
                                                                                                                                        This element is affected by the following invariants: cmp-1
                                                                                                                                        TypeNarrative
                                                                                                                                        Is Modifierfalse
                                                                                                                                        Must Supportfalse
                                                                                                                                        Summaryfalse
                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                        286. Composition.section:QRD-200000029894.section:QRD-200000029896.orderedBy
                                                                                                                                        Definition

                                                                                                                                        Specifies the order applied to the items in the section entries.

                                                                                                                                        ShortOrder of section entries
                                                                                                                                        Comments

                                                                                                                                        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.

                                                                                                                                        Control0..1
                                                                                                                                        BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                        (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                                                                                                                        What order applies to the items in the entry.

                                                                                                                                        TypeCodeableConcept
                                                                                                                                        Is Modifierfalse
                                                                                                                                        Must Supportfalse
                                                                                                                                        Summaryfalse
                                                                                                                                        Requirements

                                                                                                                                        Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                        288. Composition.section:QRD-200000029894.section:QRD-200000029896.entry
                                                                                                                                        Definition

                                                                                                                                        A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                        ShortA reference to data that supports this section
                                                                                                                                        Comments

                                                                                                                                        If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                        Control0..*
                                                                                                                                        This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                        TypeReference(Resource)
                                                                                                                                        Is Modifierfalse
                                                                                                                                        Must Supportfalse
                                                                                                                                        Summaryfalse
                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                        290. Composition.section:QRD-200000029894.section:QRD-200000029896.emptyReason
                                                                                                                                        Definition

                                                                                                                                        If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                        ShortWhy the section is empty
                                                                                                                                        Comments

                                                                                                                                        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.

                                                                                                                                        Control0..1
                                                                                                                                        This element is affected by the following invariants: cmp-2
                                                                                                                                        BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                        (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                                                                                                                        If a section is empty, why it is empty.

                                                                                                                                        TypeCodeableConcept
                                                                                                                                        Is Modifierfalse
                                                                                                                                        Must Supportfalse
                                                                                                                                        Summaryfalse
                                                                                                                                        Requirements

                                                                                                                                        Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                        292. Composition.section:QRD-200000029894.section:QRD-200000029896.section
                                                                                                                                        Definition

                                                                                                                                        A nested sub-section within this section.

                                                                                                                                        ShortNested Section
                                                                                                                                        Comments

                                                                                                                                        Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                        Control5..*
                                                                                                                                        TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                        Is Modifierfalse
                                                                                                                                        Must Supportfalse
                                                                                                                                        Summaryfalse
                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                        SlicingThis element introduces a set of slices on Composition.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                                        • value @ code.coding.code
                                                                                                                                        • 294. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029896-Blanksubsections
                                                                                                                                          Slice NameQRD-200000029896-Blanksubsections
                                                                                                                                          Definition

                                                                                                                                          A nested sub-section within this section.

                                                                                                                                          ShortNested Section
                                                                                                                                          Comments

                                                                                                                                          Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                          Control0..*
                                                                                                                                          TypeBackboneElement
                                                                                                                                          Is Modifierfalse
                                                                                                                                          Must Supportfalse
                                                                                                                                          Summaryfalse
                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                          296. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029896-Blanksubsections.id
                                                                                                                                          Definition

                                                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                          ShortUnique id for inter-element referencing
                                                                                                                                          Control0..1
                                                                                                                                          This element is affected by the following invariants: ele-1
                                                                                                                                          Typestring
                                                                                                                                          Is Modifierfalse
                                                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                          Summaryfalse
                                                                                                                                          298. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029896-Blanksubsections.extension
                                                                                                                                          Definition

                                                                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                          ShortAdditional content defined by implementations
                                                                                                                                          Comments

                                                                                                                                          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.

                                                                                                                                          Control0..*
                                                                                                                                          TypeExtension
                                                                                                                                          Is Modifierfalse
                                                                                                                                          Summaryfalse
                                                                                                                                          Alternate Namesextensions, user content
                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                          300. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029896-Blanksubsections.modifierExtension
                                                                                                                                          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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                                                                                                                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                          ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                          Comments

                                                                                                                                          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.

                                                                                                                                          Control0..*
                                                                                                                                          TypeExtension
                                                                                                                                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                          Summarytrue
                                                                                                                                          Requirements

                                                                                                                                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                          Alternate Namesextensions, user content, modifiers
                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                          302. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029896-Blanksubsections.title
                                                                                                                                          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.

                                                                                                                                          ShortLabel for section (e.g. for ToC)
                                                                                                                                          Comments

                                                                                                                                          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.

                                                                                                                                          Control1..1
                                                                                                                                          Typestring
                                                                                                                                          Is Modifierfalse
                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                          Must Supportfalse
                                                                                                                                          Summaryfalse
                                                                                                                                          Requirements

                                                                                                                                          Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                          Alternate Namesheader, label, caption
                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                          304. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029896-Blanksubsections.code
                                                                                                                                          Definition

                                                                                                                                          A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                          ShortClassification of section (recommended)
                                                                                                                                          Comments

                                                                                                                                          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.

                                                                                                                                          Control1..1
                                                                                                                                          BindingFor example codes, see DocumentSectionCodes
                                                                                                                                          (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                                                                                          Classification of a section of a composition/document.

                                                                                                                                          TypeCodeableConcept
                                                                                                                                          Is Modifierfalse
                                                                                                                                          Must Supportfalse
                                                                                                                                          Summaryfalse
                                                                                                                                          Requirements

                                                                                                                                          Provides computable standardized labels to topics within the document.

                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                          306. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029896-Blanksubsections.code.id
                                                                                                                                          Definition

                                                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                          ShortUnique id for inter-element referencing
                                                                                                                                          Control0..1
                                                                                                                                          This element is affected by the following invariants: ele-1
                                                                                                                                          Typeid
                                                                                                                                          Is Modifierfalse
                                                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                          Summaryfalse
                                                                                                                                          308. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029896-Blanksubsections.code.extension
                                                                                                                                          Definition

                                                                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                          ShortAdditional content defined by implementations
                                                                                                                                          Comments

                                                                                                                                          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.

                                                                                                                                          Control0..*
                                                                                                                                          TypeExtension
                                                                                                                                          Is Modifierfalse
                                                                                                                                          Summaryfalse
                                                                                                                                          Alternate Namesextensions, user content
                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                          SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                          • value @ url
                                                                                                                                          • 310. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029896-Blanksubsections.code.coding
                                                                                                                                            Definition

                                                                                                                                            A reference to a code defined by a terminology system.

                                                                                                                                            ShortCode defined by a terminology system
                                                                                                                                            Comments

                                                                                                                                            Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                            Control0..*
                                                                                                                                            TypeCoding
                                                                                                                                            Is Modifierfalse
                                                                                                                                            Summarytrue
                                                                                                                                            Requirements

                                                                                                                                            Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                            312. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029896-Blanksubsections.code.coding.id
                                                                                                                                            Definition

                                                                                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                            ShortUnique id for inter-element referencing
                                                                                                                                            Control0..1
                                                                                                                                            This element is affected by the following invariants: ele-1
                                                                                                                                            Typeid
                                                                                                                                            Is Modifierfalse
                                                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                            Summaryfalse
                                                                                                                                            314. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029896-Blanksubsections.code.coding.extension
                                                                                                                                            Definition

                                                                                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                            ShortAdditional content defined by implementations
                                                                                                                                            Comments

                                                                                                                                            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.

                                                                                                                                            Control0..*
                                                                                                                                            TypeExtension
                                                                                                                                            Is Modifierfalse
                                                                                                                                            Summaryfalse
                                                                                                                                            Alternate Namesextensions, user content
                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                            SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                            • value @ url
                                                                                                                                            • 316. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029896-Blanksubsections.code.coding.system
                                                                                                                                              Definition

                                                                                                                                              The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                              ShortIdentity of the terminology system
                                                                                                                                              Comments

                                                                                                                                              The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                              Control1..1
                                                                                                                                              Typeuri
                                                                                                                                              Is Modifierfalse
                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                              Summarytrue
                                                                                                                                              Requirements

                                                                                                                                              Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                              Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                              318. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029896-Blanksubsections.code.coding.version
                                                                                                                                              Definition

                                                                                                                                              The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                              ShortVersion of the system - if relevant
                                                                                                                                              Comments

                                                                                                                                              Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                              NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                              Control0..1
                                                                                                                                              Typestring
                                                                                                                                              Is Modifierfalse
                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                              Summarytrue
                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                              320. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029896-Blanksubsections.code.coding.code
                                                                                                                                              Definition

                                                                                                                                              A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                              ShortSymbol in syntax defined by the system
                                                                                                                                              Control1..1
                                                                                                                                              This element is affected by the following invariants: cod-1
                                                                                                                                              Typecode
                                                                                                                                              Is Modifierfalse
                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                              Summarytrue
                                                                                                                                              Requirements

                                                                                                                                              Need to refer to a particular code in the system.

                                                                                                                                              Pattern Value200000044346
                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                              322. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029896-Blanksubsections.code.coding.display
                                                                                                                                              Definition

                                                                                                                                              A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                              ShortRepresentation defined by the system
                                                                                                                                              Control0..1
                                                                                                                                              This element is affected by the following invariants: cod-1
                                                                                                                                              Typestring
                                                                                                                                              Is Modifierfalse
                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                              Summarytrue
                                                                                                                                              Requirements

                                                                                                                                              Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                              324. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029896-Blanksubsections.code.coding.userSelected
                                                                                                                                              Definition

                                                                                                                                              Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                              ShortIf this coding was chosen directly by the user
                                                                                                                                              Comments

                                                                                                                                              Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                              Control0..1
                                                                                                                                              Typeboolean
                                                                                                                                              Is Modifierfalse
                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                              Summarytrue
                                                                                                                                              Requirements

                                                                                                                                              This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                              326. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029896-Blanksubsections.code.text
                                                                                                                                              Definition

                                                                                                                                              A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                              ShortPlain text representation of the concept
                                                                                                                                              Comments

                                                                                                                                              Very often the text is the same as a displayName of one of the codings.

                                                                                                                                              Control0..1
                                                                                                                                              Typestring
                                                                                                                                              Is Modifierfalse
                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                              Summarytrue
                                                                                                                                              Requirements

                                                                                                                                              The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                              328. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029896-Blanksubsections.author
                                                                                                                                              Definition

                                                                                                                                              Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                              ShortWho and/or what authored the section
                                                                                                                                              Control0..*
                                                                                                                                              TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                              Is Modifierfalse
                                                                                                                                              Must Supportfalse
                                                                                                                                              Summaryfalse
                                                                                                                                              Requirements

                                                                                                                                              Identifies who is responsible for the content.

                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                              330. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029896-Blanksubsections.focus
                                                                                                                                              Definition

                                                                                                                                              The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                              ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                              Comments

                                                                                                                                              Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                              Control0..1
                                                                                                                                              TypeReference(Resource)
                                                                                                                                              Is Modifierfalse
                                                                                                                                              Must Supportfalse
                                                                                                                                              Summaryfalse
                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                              332. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029896-Blanksubsections.text
                                                                                                                                              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.

                                                                                                                                              ShortText summary of the section, for human interpretation
                                                                                                                                              Comments

                                                                                                                                              Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                              Control0..1
                                                                                                                                              This element is affected by the following invariants: cmp-1
                                                                                                                                              TypeNarrative
                                                                                                                                              Is Modifierfalse
                                                                                                                                              Must Supportfalse
                                                                                                                                              Summaryfalse
                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                              334. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029896-Blanksubsections.orderedBy
                                                                                                                                              Definition

                                                                                                                                              Specifies the order applied to the items in the section entries.

                                                                                                                                              ShortOrder of section entries
                                                                                                                                              Comments

                                                                                                                                              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.

                                                                                                                                              Control0..1
                                                                                                                                              BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                              (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                                                                                                                              What order applies to the items in the entry.

                                                                                                                                              TypeCodeableConcept
                                                                                                                                              Is Modifierfalse
                                                                                                                                              Must Supportfalse
                                                                                                                                              Summaryfalse
                                                                                                                                              Requirements

                                                                                                                                              Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                              336. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029896-Blanksubsections.entry
                                                                                                                                              Definition

                                                                                                                                              A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                              ShortA reference to data that supports this section
                                                                                                                                              Comments

                                                                                                                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                              Control0..*
                                                                                                                                              This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                              TypeReference(Resource)
                                                                                                                                              Is Modifierfalse
                                                                                                                                              Must Supportfalse
                                                                                                                                              Summaryfalse
                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                              338. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029896-Blanksubsections.emptyReason
                                                                                                                                              Definition

                                                                                                                                              If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                              ShortWhy the section is empty
                                                                                                                                              Comments

                                                                                                                                              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.

                                                                                                                                              Control0..1
                                                                                                                                              This element is affected by the following invariants: cmp-2
                                                                                                                                              BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                              (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                                                                                                                              If a section is empty, why it is empty.

                                                                                                                                              TypeCodeableConcept
                                                                                                                                              Is Modifierfalse
                                                                                                                                              Must Supportfalse
                                                                                                                                              Summaryfalse
                                                                                                                                              Requirements

                                                                                                                                              Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                              340. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029896-Blanksubsections.section
                                                                                                                                              Definition

                                                                                                                                              A nested sub-section within this section.

                                                                                                                                              ShortNested Section
                                                                                                                                              Comments

                                                                                                                                              Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                              Control0..*
                                                                                                                                              TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                              Is Modifierfalse
                                                                                                                                              Must Supportfalse
                                                                                                                                              Summaryfalse
                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                              342. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029897
                                                                                                                                              Slice NameQRD-200000029897
                                                                                                                                              Definition

                                                                                                                                              A nested sub-section within this section.

                                                                                                                                              ShortNested Section
                                                                                                                                              Comments

                                                                                                                                              Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                              Control1..1
                                                                                                                                              TypeBackboneElement
                                                                                                                                              Is Modifierfalse
                                                                                                                                              Must Supportfalse
                                                                                                                                              Summaryfalse
                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                              344. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029897.id
                                                                                                                                              Definition

                                                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                              ShortUnique id for inter-element referencing
                                                                                                                                              Control0..1
                                                                                                                                              This element is affected by the following invariants: ele-1
                                                                                                                                              Typestring
                                                                                                                                              Is Modifierfalse
                                                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                              Summaryfalse
                                                                                                                                              346. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029897.extension
                                                                                                                                              Definition

                                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                              ShortAdditional content defined by implementations
                                                                                                                                              Comments

                                                                                                                                              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.

                                                                                                                                              Control0..*
                                                                                                                                              TypeExtension
                                                                                                                                              Is Modifierfalse
                                                                                                                                              Summaryfalse
                                                                                                                                              Alternate Namesextensions, user content
                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                              348. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029897.modifierExtension
                                                                                                                                              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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                                                                                                                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                              ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                              Comments

                                                                                                                                              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.

                                                                                                                                              Control0..*
                                                                                                                                              TypeExtension
                                                                                                                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                              Summarytrue
                                                                                                                                              Requirements

                                                                                                                                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                              Alternate Namesextensions, user content, modifiers
                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                              350. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029897.title
                                                                                                                                              Definition

                                                                                                                                              Section of level 3 with title Do not take use X and code 200000029897

                                                                                                                                              ShortDo not take use X
                                                                                                                                              Comments

                                                                                                                                              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.

                                                                                                                                              Control1..1
                                                                                                                                              Typestring
                                                                                                                                              Is Modifierfalse
                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                              Must Supportfalse
                                                                                                                                              Summaryfalse
                                                                                                                                              Requirements

                                                                                                                                              Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                              Alternate Namesheader, label, caption
                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                              352. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029897.code
                                                                                                                                              Definition

                                                                                                                                              A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                              ShortClassification of section (recommended)
                                                                                                                                              Comments

                                                                                                                                              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.

                                                                                                                                              Control1..1
                                                                                                                                              BindingFor example codes, see DocumentSectionCodes
                                                                                                                                              (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                                                                                              Classification of a section of a composition/document.

                                                                                                                                              TypeCodeableConcept
                                                                                                                                              Is Modifierfalse
                                                                                                                                              Must Supportfalse
                                                                                                                                              Summaryfalse
                                                                                                                                              Requirements

                                                                                                                                              Provides computable standardized labels to topics within the document.

                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                              354. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029897.code.id
                                                                                                                                              Definition

                                                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                              ShortUnique id for inter-element referencing
                                                                                                                                              Control0..1
                                                                                                                                              This element is affected by the following invariants: ele-1
                                                                                                                                              Typeid
                                                                                                                                              Is Modifierfalse
                                                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                              Summaryfalse
                                                                                                                                              356. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029897.code.extension
                                                                                                                                              Definition

                                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                              ShortAdditional content defined by implementations
                                                                                                                                              Comments

                                                                                                                                              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.

                                                                                                                                              Control0..*
                                                                                                                                              TypeExtension
                                                                                                                                              Is Modifierfalse
                                                                                                                                              Summaryfalse
                                                                                                                                              Alternate Namesextensions, user content
                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                              SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                              • value @ url
                                                                                                                                              • 358. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029897.code.coding
                                                                                                                                                Definition

                                                                                                                                                A reference to a code defined by a terminology system.

                                                                                                                                                ShortCode defined by a terminology system
                                                                                                                                                Comments

                                                                                                                                                Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                Control0..*
                                                                                                                                                TypeCoding
                                                                                                                                                Is Modifierfalse
                                                                                                                                                Summarytrue
                                                                                                                                                Requirements

                                                                                                                                                Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                360. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029897.code.coding.id
                                                                                                                                                Definition

                                                                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                ShortUnique id for inter-element referencing
                                                                                                                                                Control0..1
                                                                                                                                                This element is affected by the following invariants: ele-1
                                                                                                                                                Typeid
                                                                                                                                                Is Modifierfalse
                                                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                Summaryfalse
                                                                                                                                                362. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029897.code.coding.extension
                                                                                                                                                Definition

                                                                                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                ShortAdditional content defined by implementations
                                                                                                                                                Comments

                                                                                                                                                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.

                                                                                                                                                Control0..*
                                                                                                                                                TypeExtension
                                                                                                                                                Is Modifierfalse
                                                                                                                                                Summaryfalse
                                                                                                                                                Alternate Namesextensions, user content
                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                • value @ url
                                                                                                                                                • 364. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029897.code.coding.system
                                                                                                                                                  Definition

                                                                                                                                                  The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                  ShortIdentity of the terminology system
                                                                                                                                                  Comments

                                                                                                                                                  The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                  Control1..1
                                                                                                                                                  Typeuri
                                                                                                                                                  Is Modifierfalse
                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                  Summarytrue
                                                                                                                                                  Requirements

                                                                                                                                                  Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                  Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                  366. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029897.code.coding.version
                                                                                                                                                  Definition

                                                                                                                                                  The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                  ShortVersion of the system - if relevant
                                                                                                                                                  Comments

                                                                                                                                                  Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                  NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                  Control0..1
                                                                                                                                                  Typestring
                                                                                                                                                  Is Modifierfalse
                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                  Summarytrue
                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                  368. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029897.code.coding.code
                                                                                                                                                  Definition

                                                                                                                                                  A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                  ShortSymbol in syntax defined by the system
                                                                                                                                                  Control1..1
                                                                                                                                                  This element is affected by the following invariants: cod-1
                                                                                                                                                  Typecode
                                                                                                                                                  Is Modifierfalse
                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                  Summarytrue
                                                                                                                                                  Requirements

                                                                                                                                                  Need to refer to a particular code in the system.

                                                                                                                                                  Pattern Value200000029897
                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                  370. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029897.code.coding.display
                                                                                                                                                  Definition

                                                                                                                                                  A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                  ShortRepresentation defined by the system
                                                                                                                                                  Control0..1
                                                                                                                                                  This element is affected by the following invariants: cod-1
                                                                                                                                                  Typestring
                                                                                                                                                  Is Modifierfalse
                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                  Summarytrue
                                                                                                                                                  Requirements

                                                                                                                                                  Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                  372. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029897.code.coding.userSelected
                                                                                                                                                  Definition

                                                                                                                                                  Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                  ShortIf this coding was chosen directly by the user
                                                                                                                                                  Comments

                                                                                                                                                  Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                  Control0..1
                                                                                                                                                  Typeboolean
                                                                                                                                                  Is Modifierfalse
                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                  Summarytrue
                                                                                                                                                  Requirements

                                                                                                                                                  This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                  374. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029897.code.text
                                                                                                                                                  Definition

                                                                                                                                                  A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                  ShortPlain text representation of the concept
                                                                                                                                                  Comments

                                                                                                                                                  Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                  Control0..1
                                                                                                                                                  Typestring
                                                                                                                                                  Is Modifierfalse
                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                  Summarytrue
                                                                                                                                                  Requirements

                                                                                                                                                  The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                  376. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029897.author
                                                                                                                                                  Definition

                                                                                                                                                  Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                  ShortWho and/or what authored the section
                                                                                                                                                  Control0..*
                                                                                                                                                  TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                  Is Modifierfalse
                                                                                                                                                  Must Supportfalse
                                                                                                                                                  Summaryfalse
                                                                                                                                                  Requirements

                                                                                                                                                  Identifies who is responsible for the content.

                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                  378. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029897.focus
                                                                                                                                                  Definition

                                                                                                                                                  The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                  ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                  Comments

                                                                                                                                                  Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                  Control0..1
                                                                                                                                                  TypeReference(Resource)
                                                                                                                                                  Is Modifierfalse
                                                                                                                                                  Must Supportfalse
                                                                                                                                                  Summaryfalse
                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                  380. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029897.text
                                                                                                                                                  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.

                                                                                                                                                  ShortText summary of the section, for human interpretation
                                                                                                                                                  Comments

                                                                                                                                                  Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                  Control0..1
                                                                                                                                                  This element is affected by the following invariants: cmp-1
                                                                                                                                                  TypeNarrative
                                                                                                                                                  Is Modifierfalse
                                                                                                                                                  Must Supportfalse
                                                                                                                                                  Summaryfalse
                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                  382. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029897.orderedBy
                                                                                                                                                  Definition

                                                                                                                                                  Specifies the order applied to the items in the section entries.

                                                                                                                                                  ShortOrder of section entries
                                                                                                                                                  Comments

                                                                                                                                                  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.

                                                                                                                                                  Control0..1
                                                                                                                                                  BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                  (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                                                                                                                                  What order applies to the items in the entry.

                                                                                                                                                  TypeCodeableConcept
                                                                                                                                                  Is Modifierfalse
                                                                                                                                                  Must Supportfalse
                                                                                                                                                  Summaryfalse
                                                                                                                                                  Requirements

                                                                                                                                                  Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                  384. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029897.entry
                                                                                                                                                  Definition

                                                                                                                                                  A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                  ShortA reference to data that supports this section
                                                                                                                                                  Comments

                                                                                                                                                  If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                  Control0..*
                                                                                                                                                  This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                  TypeReference(Resource)
                                                                                                                                                  Is Modifierfalse
                                                                                                                                                  Must Supportfalse
                                                                                                                                                  Summaryfalse
                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                  386. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029897.emptyReason
                                                                                                                                                  Definition

                                                                                                                                                  If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                  ShortWhy the section is empty
                                                                                                                                                  Comments

                                                                                                                                                  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.

                                                                                                                                                  Control0..1
                                                                                                                                                  This element is affected by the following invariants: cmp-2
                                                                                                                                                  BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                  (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                                                                                                                                  If a section is empty, why it is empty.

                                                                                                                                                  TypeCodeableConcept
                                                                                                                                                  Is Modifierfalse
                                                                                                                                                  Must Supportfalse
                                                                                                                                                  Summaryfalse
                                                                                                                                                  Requirements

                                                                                                                                                  Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                  388. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029897.section
                                                                                                                                                  Definition

                                                                                                                                                  A nested sub-section within this section.

                                                                                                                                                  ShortNested Section
                                                                                                                                                  Comments

                                                                                                                                                  Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                  Control0..*
                                                                                                                                                  TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                  Is Modifierfalse
                                                                                                                                                  Must Supportfalse
                                                                                                                                                  Summaryfalse
                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                  SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                                                  • value @ code.coding.code
                                                                                                                                                  • 390. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029898
                                                                                                                                                    Slice NameQRD-200000029898
                                                                                                                                                    Definition

                                                                                                                                                    A nested sub-section within this section.

                                                                                                                                                    ShortNested Section
                                                                                                                                                    Comments

                                                                                                                                                    Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                    Control1..1
                                                                                                                                                    TypeBackboneElement
                                                                                                                                                    Is Modifierfalse
                                                                                                                                                    Must Supportfalse
                                                                                                                                                    Summaryfalse
                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                    392. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029898.id
                                                                                                                                                    Definition

                                                                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                    ShortUnique id for inter-element referencing
                                                                                                                                                    Control0..1
                                                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                                                    Typestring
                                                                                                                                                    Is Modifierfalse
                                                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                    Summaryfalse
                                                                                                                                                    394. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029898.extension
                                                                                                                                                    Definition

                                                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                    ShortAdditional content defined by implementations
                                                                                                                                                    Comments

                                                                                                                                                    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.

                                                                                                                                                    Control0..*
                                                                                                                                                    TypeExtension
                                                                                                                                                    Is Modifierfalse
                                                                                                                                                    Summaryfalse
                                                                                                                                                    Alternate Namesextensions, user content
                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                    396. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029898.modifierExtension
                                                                                                                                                    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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                                                                                                                                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                    ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                    Comments

                                                                                                                                                    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.

                                                                                                                                                    Control0..*
                                                                                                                                                    TypeExtension
                                                                                                                                                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                    Summarytrue
                                                                                                                                                    Requirements

                                                                                                                                                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                    Alternate Namesextensions, user content, modifiers
                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                    398. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029898.title
                                                                                                                                                    Definition

                                                                                                                                                    Section of level 3 with title Warnings and precautions and code 200000029898

                                                                                                                                                    ShortWarnings and precautions
                                                                                                                                                    Comments

                                                                                                                                                    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.

                                                                                                                                                    Control1..1
                                                                                                                                                    Typestring
                                                                                                                                                    Is Modifierfalse
                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                    Must Supportfalse
                                                                                                                                                    Summaryfalse
                                                                                                                                                    Requirements

                                                                                                                                                    Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                    Alternate Namesheader, label, caption
                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                    400. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029898.code
                                                                                                                                                    Definition

                                                                                                                                                    A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                    ShortClassification of section (recommended)
                                                                                                                                                    Comments

                                                                                                                                                    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.

                                                                                                                                                    Control1..1
                                                                                                                                                    BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                    (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                                                                                                    Classification of a section of a composition/document.

                                                                                                                                                    TypeCodeableConcept
                                                                                                                                                    Is Modifierfalse
                                                                                                                                                    Must Supportfalse
                                                                                                                                                    Summaryfalse
                                                                                                                                                    Requirements

                                                                                                                                                    Provides computable standardized labels to topics within the document.

                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                    402. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029898.code.id
                                                                                                                                                    Definition

                                                                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                    ShortUnique id for inter-element referencing
                                                                                                                                                    Control0..1
                                                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                                                    Typeid
                                                                                                                                                    Is Modifierfalse
                                                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                    Summaryfalse
                                                                                                                                                    404. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029898.code.extension
                                                                                                                                                    Definition

                                                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                    ShortAdditional content defined by implementations
                                                                                                                                                    Comments

                                                                                                                                                    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.

                                                                                                                                                    Control0..*
                                                                                                                                                    TypeExtension
                                                                                                                                                    Is Modifierfalse
                                                                                                                                                    Summaryfalse
                                                                                                                                                    Alternate Namesextensions, user content
                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                    SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                    • value @ url
                                                                                                                                                    • 406. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029898.code.coding
                                                                                                                                                      Definition

                                                                                                                                                      A reference to a code defined by a terminology system.

                                                                                                                                                      ShortCode defined by a terminology system
                                                                                                                                                      Comments

                                                                                                                                                      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                      Control0..*
                                                                                                                                                      TypeCoding
                                                                                                                                                      Is Modifierfalse
                                                                                                                                                      Summarytrue
                                                                                                                                                      Requirements

                                                                                                                                                      Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                      408. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029898.code.coding.id
                                                                                                                                                      Definition

                                                                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                      ShortUnique id for inter-element referencing
                                                                                                                                                      Control0..1
                                                                                                                                                      This element is affected by the following invariants: ele-1
                                                                                                                                                      Typeid
                                                                                                                                                      Is Modifierfalse
                                                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                      Summaryfalse
                                                                                                                                                      410. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029898.code.coding.extension
                                                                                                                                                      Definition

                                                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                      ShortAdditional content defined by implementations
                                                                                                                                                      Comments

                                                                                                                                                      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.

                                                                                                                                                      Control0..*
                                                                                                                                                      TypeExtension
                                                                                                                                                      Is Modifierfalse
                                                                                                                                                      Summaryfalse
                                                                                                                                                      Alternate Namesextensions, user content
                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                      SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                      • value @ url
                                                                                                                                                      • 412. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029898.code.coding.system
                                                                                                                                                        Definition

                                                                                                                                                        The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                        ShortIdentity of the terminology system
                                                                                                                                                        Comments

                                                                                                                                                        The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                        Control1..1
                                                                                                                                                        Typeuri
                                                                                                                                                        Is Modifierfalse
                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                        Summarytrue
                                                                                                                                                        Requirements

                                                                                                                                                        Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                        Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                        414. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029898.code.coding.version
                                                                                                                                                        Definition

                                                                                                                                                        The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                        ShortVersion of the system - if relevant
                                                                                                                                                        Comments

                                                                                                                                                        Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                        NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                        Control0..1
                                                                                                                                                        Typestring
                                                                                                                                                        Is Modifierfalse
                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                        Summarytrue
                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                        416. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029898.code.coding.code
                                                                                                                                                        Definition

                                                                                                                                                        A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                        ShortSymbol in syntax defined by the system
                                                                                                                                                        Control1..1
                                                                                                                                                        This element is affected by the following invariants: cod-1
                                                                                                                                                        Typecode
                                                                                                                                                        Is Modifierfalse
                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                        Summarytrue
                                                                                                                                                        Requirements

                                                                                                                                                        Need to refer to a particular code in the system.

                                                                                                                                                        Pattern Value200000029898
                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                        418. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029898.code.coding.display
                                                                                                                                                        Definition

                                                                                                                                                        A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                        ShortRepresentation defined by the system
                                                                                                                                                        Control0..1
                                                                                                                                                        This element is affected by the following invariants: cod-1
                                                                                                                                                        Typestring
                                                                                                                                                        Is Modifierfalse
                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                        Summarytrue
                                                                                                                                                        Requirements

                                                                                                                                                        Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                        420. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029898.code.coding.userSelected
                                                                                                                                                        Definition

                                                                                                                                                        Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                        ShortIf this coding was chosen directly by the user
                                                                                                                                                        Comments

                                                                                                                                                        Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                        Control0..1
                                                                                                                                                        Typeboolean
                                                                                                                                                        Is Modifierfalse
                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                        Summarytrue
                                                                                                                                                        Requirements

                                                                                                                                                        This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                        422. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029898.code.text
                                                                                                                                                        Definition

                                                                                                                                                        A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                        ShortPlain text representation of the concept
                                                                                                                                                        Comments

                                                                                                                                                        Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                        Control0..1
                                                                                                                                                        Typestring
                                                                                                                                                        Is Modifierfalse
                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                        Summarytrue
                                                                                                                                                        Requirements

                                                                                                                                                        The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                        424. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029898.author
                                                                                                                                                        Definition

                                                                                                                                                        Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                        ShortWho and/or what authored the section
                                                                                                                                                        Control0..*
                                                                                                                                                        TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                        Is Modifierfalse
                                                                                                                                                        Must Supportfalse
                                                                                                                                                        Summaryfalse
                                                                                                                                                        Requirements

                                                                                                                                                        Identifies who is responsible for the content.

                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                        426. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029898.focus
                                                                                                                                                        Definition

                                                                                                                                                        The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                        ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                        Comments

                                                                                                                                                        Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                        Control0..1
                                                                                                                                                        TypeReference(Resource)
                                                                                                                                                        Is Modifierfalse
                                                                                                                                                        Must Supportfalse
                                                                                                                                                        Summaryfalse
                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                        428. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029898.text
                                                                                                                                                        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.

                                                                                                                                                        ShortText summary of the section, for human interpretation
                                                                                                                                                        Comments

                                                                                                                                                        Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                        Control0..1
                                                                                                                                                        This element is affected by the following invariants: cmp-1
                                                                                                                                                        TypeNarrative
                                                                                                                                                        Is Modifierfalse
                                                                                                                                                        Must Supportfalse
                                                                                                                                                        Summaryfalse
                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                        430. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029898.orderedBy
                                                                                                                                                        Definition

                                                                                                                                                        Specifies the order applied to the items in the section entries.

                                                                                                                                                        ShortOrder of section entries
                                                                                                                                                        Comments

                                                                                                                                                        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.

                                                                                                                                                        Control0..1
                                                                                                                                                        BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                        (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                                                                                                                                        What order applies to the items in the entry.

                                                                                                                                                        TypeCodeableConcept
                                                                                                                                                        Is Modifierfalse
                                                                                                                                                        Must Supportfalse
                                                                                                                                                        Summaryfalse
                                                                                                                                                        Requirements

                                                                                                                                                        Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                        432. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029898.entry
                                                                                                                                                        Definition

                                                                                                                                                        A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                        ShortA reference to data that supports this section
                                                                                                                                                        Comments

                                                                                                                                                        If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                        Control0..*
                                                                                                                                                        This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                        TypeReference(Resource)
                                                                                                                                                        Is Modifierfalse
                                                                                                                                                        Must Supportfalse
                                                                                                                                                        Summaryfalse
                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                        434. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029898.emptyReason
                                                                                                                                                        Definition

                                                                                                                                                        If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                        ShortWhy the section is empty
                                                                                                                                                        Comments

                                                                                                                                                        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.

                                                                                                                                                        Control0..1
                                                                                                                                                        This element is affected by the following invariants: cmp-2
                                                                                                                                                        BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                        (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                                                                                                                                        If a section is empty, why it is empty.

                                                                                                                                                        TypeCodeableConcept
                                                                                                                                                        Is Modifierfalse
                                                                                                                                                        Must Supportfalse
                                                                                                                                                        Summaryfalse
                                                                                                                                                        Requirements

                                                                                                                                                        Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                        436. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029898.section
                                                                                                                                                        Definition

                                                                                                                                                        A nested sub-section within this section.

                                                                                                                                                        ShortNested Section
                                                                                                                                                        Comments

                                                                                                                                                        Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                        Control0..*
                                                                                                                                                        TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                        Is Modifierfalse
                                                                                                                                                        Must Supportfalse
                                                                                                                                                        Summaryfalse
                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                        SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                                                        • value @ code.coding.code
                                                                                                                                                        • 438. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029899
                                                                                                                                                          Slice NameQRD-200000029899
                                                                                                                                                          Definition

                                                                                                                                                          A nested sub-section within this section.

                                                                                                                                                          ShortNested Section
                                                                                                                                                          Comments

                                                                                                                                                          Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                          Control0..1
                                                                                                                                                          TypeBackboneElement
                                                                                                                                                          Is Modifierfalse
                                                                                                                                                          Must Supportfalse
                                                                                                                                                          Summaryfalse
                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                          440. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029899.id
                                                                                                                                                          Definition

                                                                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                          ShortUnique id for inter-element referencing
                                                                                                                                                          Control0..1
                                                                                                                                                          This element is affected by the following invariants: ele-1
                                                                                                                                                          Typestring
                                                                                                                                                          Is Modifierfalse
                                                                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                          Summaryfalse
                                                                                                                                                          442. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029899.extension
                                                                                                                                                          Definition

                                                                                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                          ShortAdditional content defined by implementations
                                                                                                                                                          Comments

                                                                                                                                                          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.

                                                                                                                                                          Control0..*
                                                                                                                                                          TypeExtension
                                                                                                                                                          Is Modifierfalse
                                                                                                                                                          Summaryfalse
                                                                                                                                                          Alternate Namesextensions, user content
                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                          444. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029899.modifierExtension
                                                                                                                                                          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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                                                                                                                                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                          ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                          Comments

                                                                                                                                                          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.

                                                                                                                                                          Control0..*
                                                                                                                                                          TypeExtension
                                                                                                                                                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                          Summarytrue
                                                                                                                                                          Requirements

                                                                                                                                                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                          Alternate Namesextensions, user content, modifiers
                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                          446. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029899.title
                                                                                                                                                          Definition

                                                                                                                                                          Section of level 3 with title Children and adolescents and code 200000029899

                                                                                                                                                          ShortChildren and adolescents
                                                                                                                                                          Comments

                                                                                                                                                          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.

                                                                                                                                                          Control1..1
                                                                                                                                                          Typestring
                                                                                                                                                          Is Modifierfalse
                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                          Must Supportfalse
                                                                                                                                                          Summaryfalse
                                                                                                                                                          Requirements

                                                                                                                                                          Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                          Alternate Namesheader, label, caption
                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                          448. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029899.code
                                                                                                                                                          Definition

                                                                                                                                                          A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                          ShortClassification of section (recommended)
                                                                                                                                                          Comments

                                                                                                                                                          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.

                                                                                                                                                          Control1..1
                                                                                                                                                          BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                          (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                                                                                                          Classification of a section of a composition/document.

                                                                                                                                                          TypeCodeableConcept
                                                                                                                                                          Is Modifierfalse
                                                                                                                                                          Must Supportfalse
                                                                                                                                                          Summaryfalse
                                                                                                                                                          Requirements

                                                                                                                                                          Provides computable standardized labels to topics within the document.

                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                          450. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029899.code.id
                                                                                                                                                          Definition

                                                                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                          ShortUnique id for inter-element referencing
                                                                                                                                                          Control0..1
                                                                                                                                                          This element is affected by the following invariants: ele-1
                                                                                                                                                          Typeid
                                                                                                                                                          Is Modifierfalse
                                                                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                          Summaryfalse
                                                                                                                                                          452. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029899.code.extension
                                                                                                                                                          Definition

                                                                                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                          ShortAdditional content defined by implementations
                                                                                                                                                          Comments

                                                                                                                                                          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.

                                                                                                                                                          Control0..*
                                                                                                                                                          TypeExtension
                                                                                                                                                          Is Modifierfalse
                                                                                                                                                          Summaryfalse
                                                                                                                                                          Alternate Namesextensions, user content
                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                          SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                          • value @ url
                                                                                                                                                          • 454. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029899.code.coding
                                                                                                                                                            Definition

                                                                                                                                                            A reference to a code defined by a terminology system.

                                                                                                                                                            ShortCode defined by a terminology system
                                                                                                                                                            Comments

                                                                                                                                                            Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                            Control0..*
                                                                                                                                                            TypeCoding
                                                                                                                                                            Is Modifierfalse
                                                                                                                                                            Summarytrue
                                                                                                                                                            Requirements

                                                                                                                                                            Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                            456. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029899.code.coding.id
                                                                                                                                                            Definition

                                                                                                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                            ShortUnique id for inter-element referencing
                                                                                                                                                            Control0..1
                                                                                                                                                            This element is affected by the following invariants: ele-1
                                                                                                                                                            Typeid
                                                                                                                                                            Is Modifierfalse
                                                                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                            Summaryfalse
                                                                                                                                                            458. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029899.code.coding.extension
                                                                                                                                                            Definition

                                                                                                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                            ShortAdditional content defined by implementations
                                                                                                                                                            Comments

                                                                                                                                                            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.

                                                                                                                                                            Control0..*
                                                                                                                                                            TypeExtension
                                                                                                                                                            Is Modifierfalse
                                                                                                                                                            Summaryfalse
                                                                                                                                                            Alternate Namesextensions, user content
                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                            SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                            • value @ url
                                                                                                                                                            • 460. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029899.code.coding.system
                                                                                                                                                              Definition

                                                                                                                                                              The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                              ShortIdentity of the terminology system
                                                                                                                                                              Comments

                                                                                                                                                              The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                              Control1..1
                                                                                                                                                              Typeuri
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                              Summarytrue
                                                                                                                                                              Requirements

                                                                                                                                                              Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                              Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              462. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029899.code.coding.version
                                                                                                                                                              Definition

                                                                                                                                                              The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                              ShortVersion of the system - if relevant
                                                                                                                                                              Comments

                                                                                                                                                              Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                              NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                              Control0..1
                                                                                                                                                              Typestring
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                              Summarytrue
                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              464. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029899.code.coding.code
                                                                                                                                                              Definition

                                                                                                                                                              A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                              ShortSymbol in syntax defined by the system
                                                                                                                                                              Control1..1
                                                                                                                                                              This element is affected by the following invariants: cod-1
                                                                                                                                                              Typecode
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                              Summarytrue
                                                                                                                                                              Requirements

                                                                                                                                                              Need to refer to a particular code in the system.

                                                                                                                                                              Pattern Value200000029899
                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              466. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029899.code.coding.display
                                                                                                                                                              Definition

                                                                                                                                                              A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                              ShortRepresentation defined by the system
                                                                                                                                                              Control0..1
                                                                                                                                                              This element is affected by the following invariants: cod-1
                                                                                                                                                              Typestring
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                              Summarytrue
                                                                                                                                                              Requirements

                                                                                                                                                              Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              468. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029899.code.coding.userSelected
                                                                                                                                                              Definition

                                                                                                                                                              Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                              ShortIf this coding was chosen directly by the user
                                                                                                                                                              Comments

                                                                                                                                                              Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                              Control0..1
                                                                                                                                                              Typeboolean
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                              Summarytrue
                                                                                                                                                              Requirements

                                                                                                                                                              This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              470. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029899.code.text
                                                                                                                                                              Definition

                                                                                                                                                              A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                              ShortPlain text representation of the concept
                                                                                                                                                              Comments

                                                                                                                                                              Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                              Control0..1
                                                                                                                                                              Typestring
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                              Summarytrue
                                                                                                                                                              Requirements

                                                                                                                                                              The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              472. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029899.author
                                                                                                                                                              Definition

                                                                                                                                                              Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                              ShortWho and/or what authored the section
                                                                                                                                                              Control0..*
                                                                                                                                                              TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              Must Supportfalse
                                                                                                                                                              Summaryfalse
                                                                                                                                                              Requirements

                                                                                                                                                              Identifies who is responsible for the content.

                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              474. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029899.focus
                                                                                                                                                              Definition

                                                                                                                                                              The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                              ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                              Comments

                                                                                                                                                              Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                              Control0..1
                                                                                                                                                              TypeReference(Resource)
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              Must Supportfalse
                                                                                                                                                              Summaryfalse
                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              476. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029899.text
                                                                                                                                                              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.

                                                                                                                                                              ShortText summary of the section, for human interpretation
                                                                                                                                                              Comments

                                                                                                                                                              Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                              Control0..1
                                                                                                                                                              This element is affected by the following invariants: cmp-1
                                                                                                                                                              TypeNarrative
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              Must Supportfalse
                                                                                                                                                              Summaryfalse
                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              478. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029899.orderedBy
                                                                                                                                                              Definition

                                                                                                                                                              Specifies the order applied to the items in the section entries.

                                                                                                                                                              ShortOrder of section entries
                                                                                                                                                              Comments

                                                                                                                                                              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.

                                                                                                                                                              Control0..1
                                                                                                                                                              BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                              (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                                                                                                                                              What order applies to the items in the entry.

                                                                                                                                                              TypeCodeableConcept
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              Must Supportfalse
                                                                                                                                                              Summaryfalse
                                                                                                                                                              Requirements

                                                                                                                                                              Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              480. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029899.entry
                                                                                                                                                              Definition

                                                                                                                                                              A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                              ShortA reference to data that supports this section
                                                                                                                                                              Comments

                                                                                                                                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                              Control0..*
                                                                                                                                                              This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                              TypeReference(Resource)
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              Must Supportfalse
                                                                                                                                                              Summaryfalse
                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              482. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029899.emptyReason
                                                                                                                                                              Definition

                                                                                                                                                              If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                              ShortWhy the section is empty
                                                                                                                                                              Comments

                                                                                                                                                              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.

                                                                                                                                                              Control0..1
                                                                                                                                                              This element is affected by the following invariants: cmp-2
                                                                                                                                                              BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                              (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                                                                                                                                              If a section is empty, why it is empty.

                                                                                                                                                              TypeCodeableConcept
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              Must Supportfalse
                                                                                                                                                              Summaryfalse
                                                                                                                                                              Requirements

                                                                                                                                                              Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              484. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029899.section
                                                                                                                                                              Definition

                                                                                                                                                              A nested sub-section within this section.

                                                                                                                                                              ShortNested Section
                                                                                                                                                              Comments

                                                                                                                                                              Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                              Control0..*
                                                                                                                                                              TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              Must Supportfalse
                                                                                                                                                              Summaryfalse
                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                                                              • value @ code.coding.code
                                                                                                                                                              • 486. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029900
                                                                                                                                                                Slice NameQRD-200000029900
                                                                                                                                                                Definition

                                                                                                                                                                A nested sub-section within this section.

                                                                                                                                                                ShortNested Section
                                                                                                                                                                Comments

                                                                                                                                                                Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                Control1..1
                                                                                                                                                                TypeBackboneElement
                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                Must Supportfalse
                                                                                                                                                                Summaryfalse
                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                488. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029900.id
                                                                                                                                                                Definition

                                                                                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                ShortUnique id for inter-element referencing
                                                                                                                                                                Control0..1
                                                                                                                                                                This element is affected by the following invariants: ele-1
                                                                                                                                                                Typestring
                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                Summaryfalse
                                                                                                                                                                490. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029900.extension
                                                                                                                                                                Definition

                                                                                                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                ShortAdditional content defined by implementations
                                                                                                                                                                Comments

                                                                                                                                                                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.

                                                                                                                                                                Control0..*
                                                                                                                                                                TypeExtension
                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                Summaryfalse
                                                                                                                                                                Alternate Namesextensions, user content
                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                492. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029900.modifierExtension
                                                                                                                                                                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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                                                                                                                                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                Comments

                                                                                                                                                                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.

                                                                                                                                                                Control0..*
                                                                                                                                                                TypeExtension
                                                                                                                                                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                Summarytrue
                                                                                                                                                                Requirements

                                                                                                                                                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                Alternate Namesextensions, user content, modifiers
                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                494. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029900.title
                                                                                                                                                                Definition

                                                                                                                                                                Section of level 3 with title Other medicines and X and code 200000029900

                                                                                                                                                                ShortOther medicines and X
                                                                                                                                                                Comments

                                                                                                                                                                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.

                                                                                                                                                                Control1..1
                                                                                                                                                                Typestring
                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                Must Supportfalse
                                                                                                                                                                Summaryfalse
                                                                                                                                                                Requirements

                                                                                                                                                                Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                Alternate Namesheader, label, caption
                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                496. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029900.code
                                                                                                                                                                Definition

                                                                                                                                                                A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                ShortClassification of section (recommended)
                                                                                                                                                                Comments

                                                                                                                                                                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.

                                                                                                                                                                Control1..1
                                                                                                                                                                BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                                                                                                                Classification of a section of a composition/document.

                                                                                                                                                                TypeCodeableConcept
                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                Must Supportfalse
                                                                                                                                                                Summaryfalse
                                                                                                                                                                Requirements

                                                                                                                                                                Provides computable standardized labels to topics within the document.

                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                498. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029900.code.id
                                                                                                                                                                Definition

                                                                                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                ShortUnique id for inter-element referencing
                                                                                                                                                                Control0..1
                                                                                                                                                                This element is affected by the following invariants: ele-1
                                                                                                                                                                Typeid
                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                Summaryfalse
                                                                                                                                                                500. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029900.code.extension
                                                                                                                                                                Definition

                                                                                                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                ShortAdditional content defined by implementations
                                                                                                                                                                Comments

                                                                                                                                                                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.

                                                                                                                                                                Control0..*
                                                                                                                                                                TypeExtension
                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                Summaryfalse
                                                                                                                                                                Alternate Namesextensions, user content
                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                • value @ url
                                                                                                                                                                • 502. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029900.code.coding
                                                                                                                                                                  Definition

                                                                                                                                                                  A reference to a code defined by a terminology system.

                                                                                                                                                                  ShortCode defined by a terminology system
                                                                                                                                                                  Comments

                                                                                                                                                                  Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                  Control0..*
                                                                                                                                                                  TypeCoding
                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                  Summarytrue
                                                                                                                                                                  Requirements

                                                                                                                                                                  Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                  504. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029900.code.coding.id
                                                                                                                                                                  Definition

                                                                                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                                                                  Control0..1
                                                                                                                                                                  This element is affected by the following invariants: ele-1
                                                                                                                                                                  Typeid
                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                  Summaryfalse
                                                                                                                                                                  506. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029900.code.coding.extension
                                                                                                                                                                  Definition

                                                                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                  ShortAdditional content defined by implementations
                                                                                                                                                                  Comments

                                                                                                                                                                  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.

                                                                                                                                                                  Control0..*
                                                                                                                                                                  TypeExtension
                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                  Summaryfalse
                                                                                                                                                                  Alternate Namesextensions, user content
                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                  SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                  • value @ url
                                                                                                                                                                  • 508. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029900.code.coding.system
                                                                                                                                                                    Definition

                                                                                                                                                                    The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                    ShortIdentity of the terminology system
                                                                                                                                                                    Comments

                                                                                                                                                                    The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                    Control1..1
                                                                                                                                                                    Typeuri
                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                    Summarytrue
                                                                                                                                                                    Requirements

                                                                                                                                                                    Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                    Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                    510. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029900.code.coding.version
                                                                                                                                                                    Definition

                                                                                                                                                                    The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                    ShortVersion of the system - if relevant
                                                                                                                                                                    Comments

                                                                                                                                                                    Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                    NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                    Control0..1
                                                                                                                                                                    Typestring
                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                    Summarytrue
                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                    512. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029900.code.coding.code
                                                                                                                                                                    Definition

                                                                                                                                                                    A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                    ShortSymbol in syntax defined by the system
                                                                                                                                                                    Control1..1
                                                                                                                                                                    This element is affected by the following invariants: cod-1
                                                                                                                                                                    Typecode
                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                    Summarytrue
                                                                                                                                                                    Requirements

                                                                                                                                                                    Need to refer to a particular code in the system.

                                                                                                                                                                    Pattern Value200000029900
                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                    514. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029900.code.coding.display
                                                                                                                                                                    Definition

                                                                                                                                                                    A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                    ShortRepresentation defined by the system
                                                                                                                                                                    Control0..1
                                                                                                                                                                    This element is affected by the following invariants: cod-1
                                                                                                                                                                    Typestring
                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                    Summarytrue
                                                                                                                                                                    Requirements

                                                                                                                                                                    Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                    516. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029900.code.coding.userSelected
                                                                                                                                                                    Definition

                                                                                                                                                                    Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                    ShortIf this coding was chosen directly by the user
                                                                                                                                                                    Comments

                                                                                                                                                                    Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                    Control0..1
                                                                                                                                                                    Typeboolean
                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                    Summarytrue
                                                                                                                                                                    Requirements

                                                                                                                                                                    This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                    518. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029900.code.text
                                                                                                                                                                    Definition

                                                                                                                                                                    A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                    ShortPlain text representation of the concept
                                                                                                                                                                    Comments

                                                                                                                                                                    Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                    Control0..1
                                                                                                                                                                    Typestring
                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                    Summarytrue
                                                                                                                                                                    Requirements

                                                                                                                                                                    The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                    520. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029900.author
                                                                                                                                                                    Definition

                                                                                                                                                                    Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                    ShortWho and/or what authored the section
                                                                                                                                                                    Control0..*
                                                                                                                                                                    TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                    Summaryfalse
                                                                                                                                                                    Requirements

                                                                                                                                                                    Identifies who is responsible for the content.

                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                    522. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029900.focus
                                                                                                                                                                    Definition

                                                                                                                                                                    The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                    ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                    Comments

                                                                                                                                                                    Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                    Control0..1
                                                                                                                                                                    TypeReference(Resource)
                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                    Summaryfalse
                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                    524. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029900.text
                                                                                                                                                                    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.

                                                                                                                                                                    ShortText summary of the section, for human interpretation
                                                                                                                                                                    Comments

                                                                                                                                                                    Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                    Control0..1
                                                                                                                                                                    This element is affected by the following invariants: cmp-1
                                                                                                                                                                    TypeNarrative
                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                    Summaryfalse
                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                    526. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029900.orderedBy
                                                                                                                                                                    Definition

                                                                                                                                                                    Specifies the order applied to the items in the section entries.

                                                                                                                                                                    ShortOrder of section entries
                                                                                                                                                                    Comments

                                                                                                                                                                    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.

                                                                                                                                                                    Control0..1
                                                                                                                                                                    BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                    (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                                                                                                                                                    What order applies to the items in the entry.

                                                                                                                                                                    TypeCodeableConcept
                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                    Summaryfalse
                                                                                                                                                                    Requirements

                                                                                                                                                                    Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                    528. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029900.entry
                                                                                                                                                                    Definition

                                                                                                                                                                    A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                    ShortA reference to data that supports this section
                                                                                                                                                                    Comments

                                                                                                                                                                    If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                    Control0..*
                                                                                                                                                                    This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                    TypeReference(Resource)
                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                    Summaryfalse
                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                    530. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029900.emptyReason
                                                                                                                                                                    Definition

                                                                                                                                                                    If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                    ShortWhy the section is empty
                                                                                                                                                                    Comments

                                                                                                                                                                    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.

                                                                                                                                                                    Control0..1
                                                                                                                                                                    This element is affected by the following invariants: cmp-2
                                                                                                                                                                    BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                    (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                                                                                                                                                    If a section is empty, why it is empty.

                                                                                                                                                                    TypeCodeableConcept
                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                    Summaryfalse
                                                                                                                                                                    Requirements

                                                                                                                                                                    Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                    532. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029900.section
                                                                                                                                                                    Definition

                                                                                                                                                                    A nested sub-section within this section.

                                                                                                                                                                    ShortNested Section
                                                                                                                                                                    Comments

                                                                                                                                                                    Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                    Control0..*
                                                                                                                                                                    TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                    Summaryfalse
                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                    SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                                                                    • value @ code.coding.code
                                                                                                                                                                    • 534. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029901
                                                                                                                                                                      Slice NameQRD-200000029901
                                                                                                                                                                      Definition

                                                                                                                                                                      A nested sub-section within this section.

                                                                                                                                                                      ShortNested Section
                                                                                                                                                                      Comments

                                                                                                                                                                      Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                      Control0..1
                                                                                                                                                                      TypeBackboneElement
                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                      Summaryfalse
                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                      536. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029901.id
                                                                                                                                                                      Definition

                                                                                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                      ShortUnique id for inter-element referencing
                                                                                                                                                                      Control0..1
                                                                                                                                                                      This element is affected by the following invariants: ele-1
                                                                                                                                                                      Typestring
                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                      Summaryfalse
                                                                                                                                                                      538. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029901.extension
                                                                                                                                                                      Definition

                                                                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                      ShortAdditional content defined by implementations
                                                                                                                                                                      Comments

                                                                                                                                                                      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.

                                                                                                                                                                      Control0..*
                                                                                                                                                                      TypeExtension
                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                      Summaryfalse
                                                                                                                                                                      Alternate Namesextensions, user content
                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                      540. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029901.modifierExtension
                                                                                                                                                                      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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                                                                                                                                                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                      ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                      Comments

                                                                                                                                                                      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.

                                                                                                                                                                      Control0..*
                                                                                                                                                                      TypeExtension
                                                                                                                                                                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                      Summarytrue
                                                                                                                                                                      Requirements

                                                                                                                                                                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                      Alternate Namesextensions, user content, modifiers
                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                      542. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029901.title
                                                                                                                                                                      Definition

                                                                                                                                                                      Section of level 3 with title X with food and , drink and alcohol and code 200000029901

                                                                                                                                                                      ShortX with food and , drink and alcohol
                                                                                                                                                                      Comments

                                                                                                                                                                      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.

                                                                                                                                                                      Control1..1
                                                                                                                                                                      Typestring
                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                      Summaryfalse
                                                                                                                                                                      Requirements

                                                                                                                                                                      Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                      Alternate Namesheader, label, caption
                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                      544. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029901.code
                                                                                                                                                                      Definition

                                                                                                                                                                      A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                      ShortClassification of section (recommended)
                                                                                                                                                                      Comments

                                                                                                                                                                      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.

                                                                                                                                                                      Control1..1
                                                                                                                                                                      BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                      (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                                                                                                                      Classification of a section of a composition/document.

                                                                                                                                                                      TypeCodeableConcept
                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                      Summaryfalse
                                                                                                                                                                      Requirements

                                                                                                                                                                      Provides computable standardized labels to topics within the document.

                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                      546. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029901.code.id
                                                                                                                                                                      Definition

                                                                                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                      ShortUnique id for inter-element referencing
                                                                                                                                                                      Control0..1
                                                                                                                                                                      This element is affected by the following invariants: ele-1
                                                                                                                                                                      Typeid
                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                      Summaryfalse
                                                                                                                                                                      548. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029901.code.extension
                                                                                                                                                                      Definition

                                                                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                      ShortAdditional content defined by implementations
                                                                                                                                                                      Comments

                                                                                                                                                                      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.

                                                                                                                                                                      Control0..*
                                                                                                                                                                      TypeExtension
                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                      Summaryfalse
                                                                                                                                                                      Alternate Namesextensions, user content
                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                      SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                      • value @ url
                                                                                                                                                                      • 550. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029901.code.coding
                                                                                                                                                                        Definition

                                                                                                                                                                        A reference to a code defined by a terminology system.

                                                                                                                                                                        ShortCode defined by a terminology system
                                                                                                                                                                        Comments

                                                                                                                                                                        Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                        Control0..*
                                                                                                                                                                        TypeCoding
                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                        Summarytrue
                                                                                                                                                                        Requirements

                                                                                                                                                                        Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                        552. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029901.code.coding.id
                                                                                                                                                                        Definition

                                                                                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                        ShortUnique id for inter-element referencing
                                                                                                                                                                        Control0..1
                                                                                                                                                                        This element is affected by the following invariants: ele-1
                                                                                                                                                                        Typeid
                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                        Summaryfalse
                                                                                                                                                                        554. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029901.code.coding.extension
                                                                                                                                                                        Definition

                                                                                                                                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                        ShortAdditional content defined by implementations
                                                                                                                                                                        Comments

                                                                                                                                                                        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.

                                                                                                                                                                        Control0..*
                                                                                                                                                                        TypeExtension
                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                        Summaryfalse
                                                                                                                                                                        Alternate Namesextensions, user content
                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                        SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                        • value @ url
                                                                                                                                                                        • 556. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029901.code.coding.system
                                                                                                                                                                          Definition

                                                                                                                                                                          The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                          ShortIdentity of the terminology system
                                                                                                                                                                          Comments

                                                                                                                                                                          The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                          Control1..1
                                                                                                                                                                          Typeuri
                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                          Summarytrue
                                                                                                                                                                          Requirements

                                                                                                                                                                          Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                          Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                          558. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029901.code.coding.version
                                                                                                                                                                          Definition

                                                                                                                                                                          The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                          ShortVersion of the system - if relevant
                                                                                                                                                                          Comments

                                                                                                                                                                          Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                          NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                          Control0..1
                                                                                                                                                                          Typestring
                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                          Summarytrue
                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                          560. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029901.code.coding.code
                                                                                                                                                                          Definition

                                                                                                                                                                          A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                          ShortSymbol in syntax defined by the system
                                                                                                                                                                          Control1..1
                                                                                                                                                                          This element is affected by the following invariants: cod-1
                                                                                                                                                                          Typecode
                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                          Summarytrue
                                                                                                                                                                          Requirements

                                                                                                                                                                          Need to refer to a particular code in the system.

                                                                                                                                                                          Pattern Value200000029901
                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                          562. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029901.code.coding.display
                                                                                                                                                                          Definition

                                                                                                                                                                          A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                          ShortRepresentation defined by the system
                                                                                                                                                                          Control0..1
                                                                                                                                                                          This element is affected by the following invariants: cod-1
                                                                                                                                                                          Typestring
                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                          Summarytrue
                                                                                                                                                                          Requirements

                                                                                                                                                                          Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                          564. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029901.code.coding.userSelected
                                                                                                                                                                          Definition

                                                                                                                                                                          Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                          ShortIf this coding was chosen directly by the user
                                                                                                                                                                          Comments

                                                                                                                                                                          Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                          Control0..1
                                                                                                                                                                          Typeboolean
                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                          Summarytrue
                                                                                                                                                                          Requirements

                                                                                                                                                                          This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                          566. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029901.code.text
                                                                                                                                                                          Definition

                                                                                                                                                                          A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                          ShortPlain text representation of the concept
                                                                                                                                                                          Comments

                                                                                                                                                                          Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                          Control0..1
                                                                                                                                                                          Typestring
                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                          Summarytrue
                                                                                                                                                                          Requirements

                                                                                                                                                                          The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                          568. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029901.author
                                                                                                                                                                          Definition

                                                                                                                                                                          Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                          ShortWho and/or what authored the section
                                                                                                                                                                          Control0..*
                                                                                                                                                                          TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                          Summaryfalse
                                                                                                                                                                          Requirements

                                                                                                                                                                          Identifies who is responsible for the content.

                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                          570. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029901.focus
                                                                                                                                                                          Definition

                                                                                                                                                                          The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                          ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                          Comments

                                                                                                                                                                          Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                          Control0..1
                                                                                                                                                                          TypeReference(Resource)
                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                          Summaryfalse
                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                          572. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029901.text
                                                                                                                                                                          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.

                                                                                                                                                                          ShortText summary of the section, for human interpretation
                                                                                                                                                                          Comments

                                                                                                                                                                          Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                          Control0..1
                                                                                                                                                                          This element is affected by the following invariants: cmp-1
                                                                                                                                                                          TypeNarrative
                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                          Summaryfalse
                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                          574. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029901.orderedBy
                                                                                                                                                                          Definition

                                                                                                                                                                          Specifies the order applied to the items in the section entries.

                                                                                                                                                                          ShortOrder of section entries
                                                                                                                                                                          Comments

                                                                                                                                                                          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.

                                                                                                                                                                          Control0..1
                                                                                                                                                                          BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                          (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                                                                                                                                                          What order applies to the items in the entry.

                                                                                                                                                                          TypeCodeableConcept
                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                          Summaryfalse
                                                                                                                                                                          Requirements

                                                                                                                                                                          Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                          576. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029901.entry
                                                                                                                                                                          Definition

                                                                                                                                                                          A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                          ShortA reference to data that supports this section
                                                                                                                                                                          Comments

                                                                                                                                                                          If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                          Control0..*
                                                                                                                                                                          This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                          TypeReference(Resource)
                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                          Summaryfalse
                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                          578. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029901.emptyReason
                                                                                                                                                                          Definition

                                                                                                                                                                          If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                          ShortWhy the section is empty
                                                                                                                                                                          Comments

                                                                                                                                                                          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.

                                                                                                                                                                          Control0..1
                                                                                                                                                                          This element is affected by the following invariants: cmp-2
                                                                                                                                                                          BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                          (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                                                                                                                                                          If a section is empty, why it is empty.

                                                                                                                                                                          TypeCodeableConcept
                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                          Summaryfalse
                                                                                                                                                                          Requirements

                                                                                                                                                                          Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                          580. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029901.section
                                                                                                                                                                          Definition

                                                                                                                                                                          A nested sub-section within this section.

                                                                                                                                                                          ShortNested Section
                                                                                                                                                                          Comments

                                                                                                                                                                          Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                          Control0..*
                                                                                                                                                                          TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                          Summaryfalse
                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                          SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                                                                          • value @ code.coding.code
                                                                                                                                                                          • 582. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029902
                                                                                                                                                                            Slice NameQRD-200000029902
                                                                                                                                                                            Definition

                                                                                                                                                                            A nested sub-section within this section.

                                                                                                                                                                            ShortNested Section
                                                                                                                                                                            Comments

                                                                                                                                                                            Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                            Control1..1
                                                                                                                                                                            TypeBackboneElement
                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                            Summaryfalse
                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                            584. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029902.id
                                                                                                                                                                            Definition

                                                                                                                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                            ShortUnique id for inter-element referencing
                                                                                                                                                                            Control0..1
                                                                                                                                                                            This element is affected by the following invariants: ele-1
                                                                                                                                                                            Typestring
                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                            Summaryfalse
                                                                                                                                                                            586. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029902.extension
                                                                                                                                                                            Definition

                                                                                                                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                            ShortAdditional content defined by implementations
                                                                                                                                                                            Comments

                                                                                                                                                                            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.

                                                                                                                                                                            Control0..*
                                                                                                                                                                            TypeExtension
                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                            Summaryfalse
                                                                                                                                                                            Alternate Namesextensions, user content
                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                            588. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029902.modifierExtension
                                                                                                                                                                            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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                                                                                                                                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                            ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                            Comments

                                                                                                                                                                            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.

                                                                                                                                                                            Control0..*
                                                                                                                                                                            TypeExtension
                                                                                                                                                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                            Summarytrue
                                                                                                                                                                            Requirements

                                                                                                                                                                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                            Alternate Namesextensions, user content, modifiers
                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                            590. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029902.title
                                                                                                                                                                            Definition

                                                                                                                                                                            Section of level 3 with title Pregnancy and , breast-feeding and fertility and code 200000029902

                                                                                                                                                                            ShortPregnancy and , breast-feeding and fertility
                                                                                                                                                                            Comments

                                                                                                                                                                            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.

                                                                                                                                                                            Control1..1
                                                                                                                                                                            Typestring
                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                            Summaryfalse
                                                                                                                                                                            Requirements

                                                                                                                                                                            Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                            Alternate Namesheader, label, caption
                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                            592. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029902.code
                                                                                                                                                                            Definition

                                                                                                                                                                            A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                            ShortClassification of section (recommended)
                                                                                                                                                                            Comments

                                                                                                                                                                            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.

                                                                                                                                                                            Control1..1
                                                                                                                                                                            BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                            (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                                                                                                                            Classification of a section of a composition/document.

                                                                                                                                                                            TypeCodeableConcept
                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                            Summaryfalse
                                                                                                                                                                            Requirements

                                                                                                                                                                            Provides computable standardized labels to topics within the document.

                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                            594. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029902.code.id
                                                                                                                                                                            Definition

                                                                                                                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                            ShortUnique id for inter-element referencing
                                                                                                                                                                            Control0..1
                                                                                                                                                                            This element is affected by the following invariants: ele-1
                                                                                                                                                                            Typeid
                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                            Summaryfalse
                                                                                                                                                                            596. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029902.code.extension
                                                                                                                                                                            Definition

                                                                                                                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                            ShortAdditional content defined by implementations
                                                                                                                                                                            Comments

                                                                                                                                                                            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.

                                                                                                                                                                            Control0..*
                                                                                                                                                                            TypeExtension
                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                            Summaryfalse
                                                                                                                                                                            Alternate Namesextensions, user content
                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                            SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                            • value @ url
                                                                                                                                                                            • 598. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029902.code.coding
                                                                                                                                                                              Definition

                                                                                                                                                                              A reference to a code defined by a terminology system.

                                                                                                                                                                              ShortCode defined by a terminology system
                                                                                                                                                                              Comments

                                                                                                                                                                              Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                              Control0..*
                                                                                                                                                                              TypeCoding
                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                              Summarytrue
                                                                                                                                                                              Requirements

                                                                                                                                                                              Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                              600. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029902.code.coding.id
                                                                                                                                                                              Definition

                                                                                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                              ShortUnique id for inter-element referencing
                                                                                                                                                                              Control0..1
                                                                                                                                                                              This element is affected by the following invariants: ele-1
                                                                                                                                                                              Typeid
                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                              Summaryfalse
                                                                                                                                                                              602. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029902.code.coding.extension
                                                                                                                                                                              Definition

                                                                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                              ShortAdditional content defined by implementations
                                                                                                                                                                              Comments

                                                                                                                                                                              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.

                                                                                                                                                                              Control0..*
                                                                                                                                                                              TypeExtension
                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                              Summaryfalse
                                                                                                                                                                              Alternate Namesextensions, user content
                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                              SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                              • value @ url
                                                                                                                                                                              • 604. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029902.code.coding.system
                                                                                                                                                                                Definition

                                                                                                                                                                                The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                ShortIdentity of the terminology system
                                                                                                                                                                                Comments

                                                                                                                                                                                The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                Control1..1
                                                                                                                                                                                Typeuri
                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                Summarytrue
                                                                                                                                                                                Requirements

                                                                                                                                                                                Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                606. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029902.code.coding.version
                                                                                                                                                                                Definition

                                                                                                                                                                                The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                ShortVersion of the system - if relevant
                                                                                                                                                                                Comments

                                                                                                                                                                                Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                Control0..1
                                                                                                                                                                                Typestring
                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                Summarytrue
                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                608. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029902.code.coding.code
                                                                                                                                                                                Definition

                                                                                                                                                                                A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                ShortSymbol in syntax defined by the system
                                                                                                                                                                                Control1..1
                                                                                                                                                                                This element is affected by the following invariants: cod-1
                                                                                                                                                                                Typecode
                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                Summarytrue
                                                                                                                                                                                Requirements

                                                                                                                                                                                Need to refer to a particular code in the system.

                                                                                                                                                                                Pattern Value200000029902
                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                610. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029902.code.coding.display
                                                                                                                                                                                Definition

                                                                                                                                                                                A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                ShortRepresentation defined by the system
                                                                                                                                                                                Control0..1
                                                                                                                                                                                This element is affected by the following invariants: cod-1
                                                                                                                                                                                Typestring
                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                Summarytrue
                                                                                                                                                                                Requirements

                                                                                                                                                                                Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                612. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029902.code.coding.userSelected
                                                                                                                                                                                Definition

                                                                                                                                                                                Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                ShortIf this coding was chosen directly by the user
                                                                                                                                                                                Comments

                                                                                                                                                                                Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                Control0..1
                                                                                                                                                                                Typeboolean
                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                Summarytrue
                                                                                                                                                                                Requirements

                                                                                                                                                                                This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                614. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029902.code.text
                                                                                                                                                                                Definition

                                                                                                                                                                                A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                ShortPlain text representation of the concept
                                                                                                                                                                                Comments

                                                                                                                                                                                Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                Control0..1
                                                                                                                                                                                Typestring
                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                Summarytrue
                                                                                                                                                                                Requirements

                                                                                                                                                                                The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                616. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029902.author
                                                                                                                                                                                Definition

                                                                                                                                                                                Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                ShortWho and/or what authored the section
                                                                                                                                                                                Control0..*
                                                                                                                                                                                TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                Requirements

                                                                                                                                                                                Identifies who is responsible for the content.

                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                618. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029902.focus
                                                                                                                                                                                Definition

                                                                                                                                                                                The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                Comments

                                                                                                                                                                                Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                Control0..1
                                                                                                                                                                                TypeReference(Resource)
                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                620. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029902.text
                                                                                                                                                                                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.

                                                                                                                                                                                ShortText summary of the section, for human interpretation
                                                                                                                                                                                Comments

                                                                                                                                                                                Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                Control0..1
                                                                                                                                                                                This element is affected by the following invariants: cmp-1
                                                                                                                                                                                TypeNarrative
                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                622. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029902.orderedBy
                                                                                                                                                                                Definition

                                                                                                                                                                                Specifies the order applied to the items in the section entries.

                                                                                                                                                                                ShortOrder of section entries
                                                                                                                                                                                Comments

                                                                                                                                                                                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.

                                                                                                                                                                                Control0..1
                                                                                                                                                                                BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                                                                                                                                                                What order applies to the items in the entry.

                                                                                                                                                                                TypeCodeableConcept
                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                Requirements

                                                                                                                                                                                Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                624. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029902.entry
                                                                                                                                                                                Definition

                                                                                                                                                                                A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                ShortA reference to data that supports this section
                                                                                                                                                                                Comments

                                                                                                                                                                                If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                Control0..*
                                                                                                                                                                                This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                TypeReference(Resource)
                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                626. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029902.emptyReason
                                                                                                                                                                                Definition

                                                                                                                                                                                If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                ShortWhy the section is empty
                                                                                                                                                                                Comments

                                                                                                                                                                                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.

                                                                                                                                                                                Control0..1
                                                                                                                                                                                This element is affected by the following invariants: cmp-2
                                                                                                                                                                                BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                                                                                                                                                                If a section is empty, why it is empty.

                                                                                                                                                                                TypeCodeableConcept
                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                Requirements

                                                                                                                                                                                Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                628. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029902.section
                                                                                                                                                                                Definition

                                                                                                                                                                                A nested sub-section within this section.

                                                                                                                                                                                ShortNested Section
                                                                                                                                                                                Comments

                                                                                                                                                                                Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                Control0..*
                                                                                                                                                                                TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                                                                                • value @ code.coding.code
                                                                                                                                                                                • 630. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029903
                                                                                                                                                                                  Slice NameQRD-200000029903
                                                                                                                                                                                  Definition

                                                                                                                                                                                  A nested sub-section within this section.

                                                                                                                                                                                  ShortNested Section
                                                                                                                                                                                  Comments

                                                                                                                                                                                  Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                  Control1..1
                                                                                                                                                                                  TypeBackboneElement
                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                  632. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029903.id
                                                                                                                                                                                  Definition

                                                                                                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                                                                                  Control0..1
                                                                                                                                                                                  This element is affected by the following invariants: ele-1
                                                                                                                                                                                  Typestring
                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                  634. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029903.extension
                                                                                                                                                                                  Definition

                                                                                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                  ShortAdditional content defined by implementations
                                                                                                                                                                                  Comments

                                                                                                                                                                                  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.

                                                                                                                                                                                  Control0..*
                                                                                                                                                                                  TypeExtension
                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                  Alternate Namesextensions, user content
                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                  636. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029903.modifierExtension
                                                                                                                                                                                  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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                                                                                                                                                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                  ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                  Comments

                                                                                                                                                                                  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.

                                                                                                                                                                                  Control0..*
                                                                                                                                                                                  TypeExtension
                                                                                                                                                                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                  Requirements

                                                                                                                                                                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                  Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                  638. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029903.title
                                                                                                                                                                                  Definition

                                                                                                                                                                                  Section of level 3 with title Driving and using machines and code 200000029903

                                                                                                                                                                                  ShortDriving and using machines
                                                                                                                                                                                  Comments

                                                                                                                                                                                  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.

                                                                                                                                                                                  Control1..1
                                                                                                                                                                                  Typestring
                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                  Requirements

                                                                                                                                                                                  Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                  Alternate Namesheader, label, caption
                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                  640. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029903.code
                                                                                                                                                                                  Definition

                                                                                                                                                                                  A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                  ShortClassification of section (recommended)
                                                                                                                                                                                  Comments

                                                                                                                                                                                  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.

                                                                                                                                                                                  Control1..1
                                                                                                                                                                                  BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                  (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                                                                                                                                  Classification of a section of a composition/document.

                                                                                                                                                                                  TypeCodeableConcept
                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                  Requirements

                                                                                                                                                                                  Provides computable standardized labels to topics within the document.

                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                  642. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029903.code.id
                                                                                                                                                                                  Definition

                                                                                                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                                                                                  Control0..1
                                                                                                                                                                                  This element is affected by the following invariants: ele-1
                                                                                                                                                                                  Typeid
                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                  644. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029903.code.extension
                                                                                                                                                                                  Definition

                                                                                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                  ShortAdditional content defined by implementations
                                                                                                                                                                                  Comments

                                                                                                                                                                                  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.

                                                                                                                                                                                  Control0..*
                                                                                                                                                                                  TypeExtension
                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                  Alternate Namesextensions, user content
                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                  SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                  • value @ url
                                                                                                                                                                                  • 646. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029903.code.coding
                                                                                                                                                                                    Definition

                                                                                                                                                                                    A reference to a code defined by a terminology system.

                                                                                                                                                                                    ShortCode defined by a terminology system
                                                                                                                                                                                    Comments

                                                                                                                                                                                    Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                    Control0..*
                                                                                                                                                                                    TypeCoding
                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                    Requirements

                                                                                                                                                                                    Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                    648. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029903.code.coding.id
                                                                                                                                                                                    Definition

                                                                                                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                    ShortUnique id for inter-element referencing
                                                                                                                                                                                    Control0..1
                                                                                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                                                                                    Typeid
                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                    650. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029903.code.coding.extension
                                                                                                                                                                                    Definition

                                                                                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                    ShortAdditional content defined by implementations
                                                                                                                                                                                    Comments

                                                                                                                                                                                    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.

                                                                                                                                                                                    Control0..*
                                                                                                                                                                                    TypeExtension
                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                    Alternate Namesextensions, user content
                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                    SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                    • value @ url
                                                                                                                                                                                    • 652. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029903.code.coding.system
                                                                                                                                                                                      Definition

                                                                                                                                                                                      The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                      ShortIdentity of the terminology system
                                                                                                                                                                                      Comments

                                                                                                                                                                                      The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                      Control1..1
                                                                                                                                                                                      Typeuri
                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                      Requirements

                                                                                                                                                                                      Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                      Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                      654. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029903.code.coding.version
                                                                                                                                                                                      Definition

                                                                                                                                                                                      The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                      ShortVersion of the system - if relevant
                                                                                                                                                                                      Comments

                                                                                                                                                                                      Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                      NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                      Control0..1
                                                                                                                                                                                      Typestring
                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                      656. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029903.code.coding.code
                                                                                                                                                                                      Definition

                                                                                                                                                                                      A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                      ShortSymbol in syntax defined by the system
                                                                                                                                                                                      Control1..1
                                                                                                                                                                                      This element is affected by the following invariants: cod-1
                                                                                                                                                                                      Typecode
                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                      Requirements

                                                                                                                                                                                      Need to refer to a particular code in the system.

                                                                                                                                                                                      Pattern Value200000029903
                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                      658. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029903.code.coding.display
                                                                                                                                                                                      Definition

                                                                                                                                                                                      A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                      ShortRepresentation defined by the system
                                                                                                                                                                                      Control0..1
                                                                                                                                                                                      This element is affected by the following invariants: cod-1
                                                                                                                                                                                      Typestring
                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                      Requirements

                                                                                                                                                                                      Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                      660. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029903.code.coding.userSelected
                                                                                                                                                                                      Definition

                                                                                                                                                                                      Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                      ShortIf this coding was chosen directly by the user
                                                                                                                                                                                      Comments

                                                                                                                                                                                      Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                      Control0..1
                                                                                                                                                                                      Typeboolean
                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                      Requirements

                                                                                                                                                                                      This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                      662. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029903.code.text
                                                                                                                                                                                      Definition

                                                                                                                                                                                      A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                      ShortPlain text representation of the concept
                                                                                                                                                                                      Comments

                                                                                                                                                                                      Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                      Control0..1
                                                                                                                                                                                      Typestring
                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                      Requirements

                                                                                                                                                                                      The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                      664. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029903.author
                                                                                                                                                                                      Definition

                                                                                                                                                                                      Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                      ShortWho and/or what authored the section
                                                                                                                                                                                      Control0..*
                                                                                                                                                                                      TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                      Requirements

                                                                                                                                                                                      Identifies who is responsible for the content.

                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                      666. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029903.focus
                                                                                                                                                                                      Definition

                                                                                                                                                                                      The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                      ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                      Comments

                                                                                                                                                                                      Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                      Control0..1
                                                                                                                                                                                      TypeReference(Resource)
                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                      668. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029903.text
                                                                                                                                                                                      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.

                                                                                                                                                                                      ShortText summary of the section, for human interpretation
                                                                                                                                                                                      Comments

                                                                                                                                                                                      Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                      Control0..1
                                                                                                                                                                                      This element is affected by the following invariants: cmp-1
                                                                                                                                                                                      TypeNarrative
                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                      670. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029903.orderedBy
                                                                                                                                                                                      Definition

                                                                                                                                                                                      Specifies the order applied to the items in the section entries.

                                                                                                                                                                                      ShortOrder of section entries
                                                                                                                                                                                      Comments

                                                                                                                                                                                      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.

                                                                                                                                                                                      Control0..1
                                                                                                                                                                                      BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                      (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                                                                                                                                                                      What order applies to the items in the entry.

                                                                                                                                                                                      TypeCodeableConcept
                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                      Requirements

                                                                                                                                                                                      Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                      672. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029903.entry
                                                                                                                                                                                      Definition

                                                                                                                                                                                      A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                      ShortA reference to data that supports this section
                                                                                                                                                                                      Comments

                                                                                                                                                                                      If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                      Control0..*
                                                                                                                                                                                      This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                      TypeReference(Resource)
                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                      674. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029903.emptyReason
                                                                                                                                                                                      Definition

                                                                                                                                                                                      If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                      ShortWhy the section is empty
                                                                                                                                                                                      Comments

                                                                                                                                                                                      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.

                                                                                                                                                                                      Control0..1
                                                                                                                                                                                      This element is affected by the following invariants: cmp-2
                                                                                                                                                                                      BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                      (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                                                                                                                                                                      If a section is empty, why it is empty.

                                                                                                                                                                                      TypeCodeableConcept
                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                      Requirements

                                                                                                                                                                                      Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                      676. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029903.section
                                                                                                                                                                                      Definition

                                                                                                                                                                                      A nested sub-section within this section.

                                                                                                                                                                                      ShortNested Section
                                                                                                                                                                                      Comments

                                                                                                                                                                                      Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                      Control0..*
                                                                                                                                                                                      TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                      SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                                                                                      • value @ code.coding.code
                                                                                                                                                                                      • 678. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029904
                                                                                                                                                                                        Slice NameQRD-200000029904
                                                                                                                                                                                        Definition

                                                                                                                                                                                        A nested sub-section within this section.

                                                                                                                                                                                        ShortNested Section
                                                                                                                                                                                        Comments

                                                                                                                                                                                        Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                        Control0..1
                                                                                                                                                                                        TypeBackboneElement
                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                        680. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029904.id
                                                                                                                                                                                        Definition

                                                                                                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                        ShortUnique id for inter-element referencing
                                                                                                                                                                                        Control0..1
                                                                                                                                                                                        This element is affected by the following invariants: ele-1
                                                                                                                                                                                        Typestring
                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                        682. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029904.extension
                                                                                                                                                                                        Definition

                                                                                                                                                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                        ShortAdditional content defined by implementations
                                                                                                                                                                                        Comments

                                                                                                                                                                                        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.

                                                                                                                                                                                        Control0..*
                                                                                                                                                                                        TypeExtension
                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                        Alternate Namesextensions, user content
                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                        684. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029904.modifierExtension
                                                                                                                                                                                        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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                                                                                                                                                                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                        ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                        Comments

                                                                                                                                                                                        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.

                                                                                                                                                                                        Control0..*
                                                                                                                                                                                        TypeExtension
                                                                                                                                                                                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                        Requirements

                                                                                                                                                                                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                        Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                        686. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029904.title
                                                                                                                                                                                        Definition

                                                                                                                                                                                        Section of level 3 with title X contains {name the excipient(s)} and code 200000029904

                                                                                                                                                                                        ShortX contains {name the excipient(s)}
                                                                                                                                                                                        Comments

                                                                                                                                                                                        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.

                                                                                                                                                                                        Control1..1
                                                                                                                                                                                        Typestring
                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                        Requirements

                                                                                                                                                                                        Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                        Alternate Namesheader, label, caption
                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                        688. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029904.code
                                                                                                                                                                                        Definition

                                                                                                                                                                                        A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                        ShortClassification of section (recommended)
                                                                                                                                                                                        Comments

                                                                                                                                                                                        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.

                                                                                                                                                                                        Control1..1
                                                                                                                                                                                        BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                        (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                                                                                                                                        Classification of a section of a composition/document.

                                                                                                                                                                                        TypeCodeableConcept
                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                        Requirements

                                                                                                                                                                                        Provides computable standardized labels to topics within the document.

                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                        690. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029904.code.id
                                                                                                                                                                                        Definition

                                                                                                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                        ShortUnique id for inter-element referencing
                                                                                                                                                                                        Control0..1
                                                                                                                                                                                        This element is affected by the following invariants: ele-1
                                                                                                                                                                                        Typeid
                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                        692. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029904.code.extension
                                                                                                                                                                                        Definition

                                                                                                                                                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                        ShortAdditional content defined by implementations
                                                                                                                                                                                        Comments

                                                                                                                                                                                        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.

                                                                                                                                                                                        Control0..*
                                                                                                                                                                                        TypeExtension
                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                        Alternate Namesextensions, user content
                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                        SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                        • value @ url
                                                                                                                                                                                        • 694. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029904.code.coding
                                                                                                                                                                                          Definition

                                                                                                                                                                                          A reference to a code defined by a terminology system.

                                                                                                                                                                                          ShortCode defined by a terminology system
                                                                                                                                                                                          Comments

                                                                                                                                                                                          Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                          Control0..*
                                                                                                                                                                                          TypeCoding
                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                          Requirements

                                                                                                                                                                                          Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                          696. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029904.code.coding.id
                                                                                                                                                                                          Definition

                                                                                                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                          ShortUnique id for inter-element referencing
                                                                                                                                                                                          Control0..1
                                                                                                                                                                                          This element is affected by the following invariants: ele-1
                                                                                                                                                                                          Typeid
                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                          698. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029904.code.coding.extension
                                                                                                                                                                                          Definition

                                                                                                                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                          ShortAdditional content defined by implementations
                                                                                                                                                                                          Comments

                                                                                                                                                                                          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.

                                                                                                                                                                                          Control0..*
                                                                                                                                                                                          TypeExtension
                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                          Alternate Namesextensions, user content
                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                          SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                          • value @ url
                                                                                                                                                                                          • 700. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029904.code.coding.system
                                                                                                                                                                                            Definition

                                                                                                                                                                                            The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                            ShortIdentity of the terminology system
                                                                                                                                                                                            Comments

                                                                                                                                                                                            The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                            Control1..1
                                                                                                                                                                                            Typeuri
                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                            Requirements

                                                                                                                                                                                            Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                            Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                            702. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029904.code.coding.version
                                                                                                                                                                                            Definition

                                                                                                                                                                                            The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                            ShortVersion of the system - if relevant
                                                                                                                                                                                            Comments

                                                                                                                                                                                            Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                            NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                            Control0..1
                                                                                                                                                                                            Typestring
                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                            704. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029904.code.coding.code
                                                                                                                                                                                            Definition

                                                                                                                                                                                            A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                            ShortSymbol in syntax defined by the system
                                                                                                                                                                                            Control1..1
                                                                                                                                                                                            This element is affected by the following invariants: cod-1
                                                                                                                                                                                            Typecode
                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                            Requirements

                                                                                                                                                                                            Need to refer to a particular code in the system.

                                                                                                                                                                                            Pattern Value200000029904
                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                            706. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029904.code.coding.display
                                                                                                                                                                                            Definition

                                                                                                                                                                                            A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                            ShortRepresentation defined by the system
                                                                                                                                                                                            Control0..1
                                                                                                                                                                                            This element is affected by the following invariants: cod-1
                                                                                                                                                                                            Typestring
                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                            Requirements

                                                                                                                                                                                            Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                            708. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029904.code.coding.userSelected
                                                                                                                                                                                            Definition

                                                                                                                                                                                            Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                            ShortIf this coding was chosen directly by the user
                                                                                                                                                                                            Comments

                                                                                                                                                                                            Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                            Control0..1
                                                                                                                                                                                            Typeboolean
                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                            Requirements

                                                                                                                                                                                            This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                            710. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029904.code.text
                                                                                                                                                                                            Definition

                                                                                                                                                                                            A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                            ShortPlain text representation of the concept
                                                                                                                                                                                            Comments

                                                                                                                                                                                            Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                            Control0..1
                                                                                                                                                                                            Typestring
                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                            Requirements

                                                                                                                                                                                            The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                            712. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029904.author
                                                                                                                                                                                            Definition

                                                                                                                                                                                            Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                            ShortWho and/or what authored the section
                                                                                                                                                                                            Control0..*
                                                                                                                                                                                            TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                            Requirements

                                                                                                                                                                                            Identifies who is responsible for the content.

                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                            714. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029904.focus
                                                                                                                                                                                            Definition

                                                                                                                                                                                            The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                            ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                            Comments

                                                                                                                                                                                            Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                            Control0..1
                                                                                                                                                                                            TypeReference(Resource)
                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                            716. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029904.text
                                                                                                                                                                                            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.

                                                                                                                                                                                            ShortText summary of the section, for human interpretation
                                                                                                                                                                                            Comments

                                                                                                                                                                                            Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                            Control0..1
                                                                                                                                                                                            This element is affected by the following invariants: cmp-1
                                                                                                                                                                                            TypeNarrative
                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                            718. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029904.orderedBy
                                                                                                                                                                                            Definition

                                                                                                                                                                                            Specifies the order applied to the items in the section entries.

                                                                                                                                                                                            ShortOrder of section entries
                                                                                                                                                                                            Comments

                                                                                                                                                                                            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.

                                                                                                                                                                                            Control0..1
                                                                                                                                                                                            BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                            (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                                                                                                                                                                            What order applies to the items in the entry.

                                                                                                                                                                                            TypeCodeableConcept
                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                            Requirements

                                                                                                                                                                                            Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                            720. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029904.entry
                                                                                                                                                                                            Definition

                                                                                                                                                                                            A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                            ShortA reference to data that supports this section
                                                                                                                                                                                            Comments

                                                                                                                                                                                            If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                            Control0..*
                                                                                                                                                                                            This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                            TypeReference(Resource)
                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                            722. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029904.emptyReason
                                                                                                                                                                                            Definition

                                                                                                                                                                                            If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                            ShortWhy the section is empty
                                                                                                                                                                                            Comments

                                                                                                                                                                                            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.

                                                                                                                                                                                            Control0..1
                                                                                                                                                                                            This element is affected by the following invariants: cmp-2
                                                                                                                                                                                            BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                            (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                                                                                                                                                                            If a section is empty, why it is empty.

                                                                                                                                                                                            TypeCodeableConcept
                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                            Requirements

                                                                                                                                                                                            Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                            724. Composition.section:QRD-200000029894.section:QRD-200000029896.section:QRD-200000029904.section
                                                                                                                                                                                            Definition

                                                                                                                                                                                            A nested sub-section within this section.

                                                                                                                                                                                            ShortNested Section
                                                                                                                                                                                            Comments

                                                                                                                                                                                            Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                            Control0..*
                                                                                                                                                                                            TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                            SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                                                                                            • value @ code.coding.code
                                                                                                                                                                                            • 726. Composition.section:QRD-200000029894.section:QRD-200000029905
                                                                                                                                                                                              Slice NameQRD-200000029905
                                                                                                                                                                                              Definition

                                                                                                                                                                                              A nested sub-section within this section.

                                                                                                                                                                                              ShortNested Section
                                                                                                                                                                                              Comments

                                                                                                                                                                                              Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                              Control1..1
                                                                                                                                                                                              TypeBackboneElement
                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                              728. Composition.section:QRD-200000029894.section:QRD-200000029905.id
                                                                                                                                                                                              Definition

                                                                                                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                              ShortUnique id for inter-element referencing
                                                                                                                                                                                              Control0..1
                                                                                                                                                                                              This element is affected by the following invariants: ele-1
                                                                                                                                                                                              Typestring
                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                              730. Composition.section:QRD-200000029894.section:QRD-200000029905.extension
                                                                                                                                                                                              Definition

                                                                                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                              ShortAdditional content defined by implementations
                                                                                                                                                                                              Comments

                                                                                                                                                                                              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.

                                                                                                                                                                                              Control0..*
                                                                                                                                                                                              TypeExtension
                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                              Alternate Namesextensions, user content
                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                              732. Composition.section:QRD-200000029894.section:QRD-200000029905.modifierExtension
                                                                                                                                                                                              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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                                                                                                                                                                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                              ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                              Comments

                                                                                                                                                                                              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.

                                                                                                                                                                                              Control0..*
                                                                                                                                                                                              TypeExtension
                                                                                                                                                                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                              Requirements

                                                                                                                                                                                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                              Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                              734. Composition.section:QRD-200000029894.section:QRD-200000029905.title
                                                                                                                                                                                              Definition

                                                                                                                                                                                              Section of level 2 with title 3. How to take use X and code 200000029905

                                                                                                                                                                                              Short3. How to take use X
                                                                                                                                                                                              Comments

                                                                                                                                                                                              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.

                                                                                                                                                                                              Control1..1
                                                                                                                                                                                              Typestring
                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                              Requirements

                                                                                                                                                                                              Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                              Alternate Namesheader, label, caption
                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                              736. Composition.section:QRD-200000029894.section:QRD-200000029905.code
                                                                                                                                                                                              Definition

                                                                                                                                                                                              A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                              ShortClassification of section (recommended)
                                                                                                                                                                                              Comments

                                                                                                                                                                                              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.

                                                                                                                                                                                              Control1..1
                                                                                                                                                                                              BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                              (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                                                                                                                                              Classification of a section of a composition/document.

                                                                                                                                                                                              TypeCodeableConcept
                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                              Requirements

                                                                                                                                                                                              Provides computable standardized labels to topics within the document.

                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                              738. Composition.section:QRD-200000029894.section:QRD-200000029905.code.id
                                                                                                                                                                                              Definition

                                                                                                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                              ShortUnique id for inter-element referencing
                                                                                                                                                                                              Control0..1
                                                                                                                                                                                              This element is affected by the following invariants: ele-1
                                                                                                                                                                                              Typeid
                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                              740. Composition.section:QRD-200000029894.section:QRD-200000029905.code.extension
                                                                                                                                                                                              Definition

                                                                                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                              ShortAdditional content defined by implementations
                                                                                                                                                                                              Comments

                                                                                                                                                                                              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.

                                                                                                                                                                                              Control0..*
                                                                                                                                                                                              TypeExtension
                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                              Alternate Namesextensions, user content
                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                              SlicingThis element introduces a set of slices on Composition.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                              • value @ url
                                                                                                                                                                                              • 742. Composition.section:QRD-200000029894.section:QRD-200000029905.code.coding
                                                                                                                                                                                                Definition

                                                                                                                                                                                                A reference to a code defined by a terminology system.

                                                                                                                                                                                                ShortCode defined by a terminology system
                                                                                                                                                                                                Comments

                                                                                                                                                                                                Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                TypeCoding
                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                Requirements

                                                                                                                                                                                                Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                744. Composition.section:QRD-200000029894.section:QRD-200000029905.code.coding.id
                                                                                                                                                                                                Definition

                                                                                                                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                ShortUnique id for inter-element referencing
                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                This element is affected by the following invariants: ele-1
                                                                                                                                                                                                Typeid
                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                746. Composition.section:QRD-200000029894.section:QRD-200000029905.code.coding.extension
                                                                                                                                                                                                Definition

                                                                                                                                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                ShortAdditional content defined by implementations
                                                                                                                                                                                                Comments

                                                                                                                                                                                                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.

                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                TypeExtension
                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                Alternate Namesextensions, user content
                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                SlicingThis element introduces a set of slices on Composition.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                • value @ url
                                                                                                                                                                                                • 748. Composition.section:QRD-200000029894.section:QRD-200000029905.code.coding.system
                                                                                                                                                                                                  Definition

                                                                                                                                                                                                  The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                                  ShortIdentity of the terminology system
                                                                                                                                                                                                  Comments

                                                                                                                                                                                                  The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                                  Control1..1
                                                                                                                                                                                                  Typeuri
                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                  Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                                  Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                  750. Composition.section:QRD-200000029894.section:QRD-200000029905.code.coding.version
                                                                                                                                                                                                  Definition

                                                                                                                                                                                                  The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                                  ShortVersion of the system - if relevant
                                                                                                                                                                                                  Comments

                                                                                                                                                                                                  Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                                  NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                  Typestring
                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                  752. Composition.section:QRD-200000029894.section:QRD-200000029905.code.coding.code
                                                                                                                                                                                                  Definition

                                                                                                                                                                                                  A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                                  ShortSymbol in syntax defined by the system
                                                                                                                                                                                                  Control1..1
                                                                                                                                                                                                  This element is affected by the following invariants: cod-1
                                                                                                                                                                                                  Typecode
                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                  Need to refer to a particular code in the system.

                                                                                                                                                                                                  Pattern Value200000029905
                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                  754. Composition.section:QRD-200000029894.section:QRD-200000029905.code.coding.display
                                                                                                                                                                                                  Definition

                                                                                                                                                                                                  A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                                  ShortRepresentation defined by the system
                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                  This element is affected by the following invariants: cod-1
                                                                                                                                                                                                  Typestring
                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                  Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                  756. Composition.section:QRD-200000029894.section:QRD-200000029905.code.coding.userSelected
                                                                                                                                                                                                  Definition

                                                                                                                                                                                                  Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                                  ShortIf this coding was chosen directly by the user
                                                                                                                                                                                                  Comments

                                                                                                                                                                                                  Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                  Typeboolean
                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                  This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                  758. Composition.section:QRD-200000029894.section:QRD-200000029905.code.text
                                                                                                                                                                                                  Definition

                                                                                                                                                                                                  A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                  ShortPlain text representation of the concept
                                                                                                                                                                                                  Comments

                                                                                                                                                                                                  Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                  Typestring
                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                  The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                  760. Composition.section:QRD-200000029894.section:QRD-200000029905.author
                                                                                                                                                                                                  Definition

                                                                                                                                                                                                  Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                  ShortWho and/or what authored the section
                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                  TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                  Identifies who is responsible for the content.

                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                  762. Composition.section:QRD-200000029894.section:QRD-200000029905.focus
                                                                                                                                                                                                  Definition

                                                                                                                                                                                                  The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                  ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                  Comments

                                                                                                                                                                                                  Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                  TypeReference(Resource)
                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                  764. Composition.section:QRD-200000029894.section:QRD-200000029905.text
                                                                                                                                                                                                  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.

                                                                                                                                                                                                  ShortText summary of the section, for human interpretation
                                                                                                                                                                                                  Comments

                                                                                                                                                                                                  Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                  This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                  TypeNarrative
                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                  766. Composition.section:QRD-200000029894.section:QRD-200000029905.orderedBy
                                                                                                                                                                                                  Definition

                                                                                                                                                                                                  Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                  ShortOrder of section entries
                                                                                                                                                                                                  Comments

                                                                                                                                                                                                  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.

                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                  BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                  (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                                                                                                                                                                                  What order applies to the items in the entry.

                                                                                                                                                                                                  TypeCodeableConcept
                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                  Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                  768. Composition.section:QRD-200000029894.section:QRD-200000029905.entry
                                                                                                                                                                                                  Definition

                                                                                                                                                                                                  A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                  ShortA reference to data that supports this section
                                                                                                                                                                                                  Comments

                                                                                                                                                                                                  If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                  This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                  TypeReference(Resource)
                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                  770. Composition.section:QRD-200000029894.section:QRD-200000029905.emptyReason
                                                                                                                                                                                                  Definition

                                                                                                                                                                                                  If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                  ShortWhy the section is empty
                                                                                                                                                                                                  Comments

                                                                                                                                                                                                  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.

                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                  This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                  BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                  (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                                                                                                                                                                                  If a section is empty, why it is empty.

                                                                                                                                                                                                  TypeCodeableConcept
                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                  Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                  772. Composition.section:QRD-200000029894.section:QRD-200000029905.section
                                                                                                                                                                                                  Definition

                                                                                                                                                                                                  A nested sub-section within this section.

                                                                                                                                                                                                  ShortNested Section
                                                                                                                                                                                                  Comments

                                                                                                                                                                                                  Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                  TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                  SlicingThis element introduces a set of slices on Composition.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                                                                                                  • value @ code.coding.code
                                                                                                                                                                                                  • 774. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029905-Blanksubsections
                                                                                                                                                                                                    Slice NameQRD-200000029905-Blanksubsections
                                                                                                                                                                                                    Definition

                                                                                                                                                                                                    A nested sub-section within this section.

                                                                                                                                                                                                    ShortNested Section
                                                                                                                                                                                                    Comments

                                                                                                                                                                                                    Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                    TypeBackboneElement
                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                    776. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029905-Blanksubsections.id
                                                                                                                                                                                                    Definition

                                                                                                                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                    ShortUnique id for inter-element referencing
                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                                                                                                    Typestring
                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                    778. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029905-Blanksubsections.extension
                                                                                                                                                                                                    Definition

                                                                                                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                    ShortAdditional content defined by implementations
                                                                                                                                                                                                    Comments

                                                                                                                                                                                                    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.

                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                    TypeExtension
                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                    Alternate Namesextensions, user content
                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                    780. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029905-Blanksubsections.modifierExtension
                                                                                                                                                                                                    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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                                                                                                                                                                                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                    ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                    Comments

                                                                                                                                                                                                    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.

                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                    TypeExtension
                                                                                                                                                                                                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                    Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                    782. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029905-Blanksubsections.title
                                                                                                                                                                                                    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.

                                                                                                                                                                                                    ShortLabel for section (e.g. for ToC)
                                                                                                                                                                                                    Comments

                                                                                                                                                                                                    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.

                                                                                                                                                                                                    Control1..1
                                                                                                                                                                                                    Typestring
                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                    Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                    Alternate Namesheader, label, caption
                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                    784. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029905-Blanksubsections.code
                                                                                                                                                                                                    Definition

                                                                                                                                                                                                    A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                    ShortClassification of section (recommended)
                                                                                                                                                                                                    Comments

                                                                                                                                                                                                    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.

                                                                                                                                                                                                    Control1..1
                                                                                                                                                                                                    BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                    (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                                                                                                                                                    Classification of a section of a composition/document.

                                                                                                                                                                                                    TypeCodeableConcept
                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                    Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                    786. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029905-Blanksubsections.code.id
                                                                                                                                                                                                    Definition

                                                                                                                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                    ShortUnique id for inter-element referencing
                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                                                                                                    Typeid
                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                    788. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029905-Blanksubsections.code.extension
                                                                                                                                                                                                    Definition

                                                                                                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                    ShortAdditional content defined by implementations
                                                                                                                                                                                                    Comments

                                                                                                                                                                                                    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.

                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                    TypeExtension
                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                    Alternate Namesextensions, user content
                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                    SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                    • value @ url
                                                                                                                                                                                                    • 790. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029905-Blanksubsections.code.coding
                                                                                                                                                                                                      Definition

                                                                                                                                                                                                      A reference to a code defined by a terminology system.

                                                                                                                                                                                                      ShortCode defined by a terminology system
                                                                                                                                                                                                      Comments

                                                                                                                                                                                                      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                      TypeCoding
                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                      Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                      792. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029905-Blanksubsections.code.coding.id
                                                                                                                                                                                                      Definition

                                                                                                                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                      ShortUnique id for inter-element referencing
                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                      This element is affected by the following invariants: ele-1
                                                                                                                                                                                                      Typeid
                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                      794. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029905-Blanksubsections.code.coding.extension
                                                                                                                                                                                                      Definition

                                                                                                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                      ShortAdditional content defined by implementations
                                                                                                                                                                                                      Comments

                                                                                                                                                                                                      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.

                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                      TypeExtension
                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                      Alternate Namesextensions, user content
                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                      SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                      • value @ url
                                                                                                                                                                                                      • 796. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029905-Blanksubsections.code.coding.system
                                                                                                                                                                                                        Definition

                                                                                                                                                                                                        The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                                        ShortIdentity of the terminology system
                                                                                                                                                                                                        Comments

                                                                                                                                                                                                        The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                                        Control1..1
                                                                                                                                                                                                        Typeuri
                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                        Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                                        Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                        798. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029905-Blanksubsections.code.coding.version
                                                                                                                                                                                                        Definition

                                                                                                                                                                                                        The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                                        ShortVersion of the system - if relevant
                                                                                                                                                                                                        Comments

                                                                                                                                                                                                        Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                                        NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                        Typestring
                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                        800. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029905-Blanksubsections.code.coding.code
                                                                                                                                                                                                        Definition

                                                                                                                                                                                                        A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                                        ShortSymbol in syntax defined by the system
                                                                                                                                                                                                        Control1..1
                                                                                                                                                                                                        This element is affected by the following invariants: cod-1
                                                                                                                                                                                                        Typecode
                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                        Need to refer to a particular code in the system.

                                                                                                                                                                                                        Pattern Value200000044346
                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                        802. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029905-Blanksubsections.code.coding.display
                                                                                                                                                                                                        Definition

                                                                                                                                                                                                        A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                                        ShortRepresentation defined by the system
                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                        This element is affected by the following invariants: cod-1
                                                                                                                                                                                                        Typestring
                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                        Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                        804. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029905-Blanksubsections.code.coding.userSelected
                                                                                                                                                                                                        Definition

                                                                                                                                                                                                        Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                                        ShortIf this coding was chosen directly by the user
                                                                                                                                                                                                        Comments

                                                                                                                                                                                                        Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                        Typeboolean
                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                        This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                        806. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029905-Blanksubsections.code.text
                                                                                                                                                                                                        Definition

                                                                                                                                                                                                        A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                        ShortPlain text representation of the concept
                                                                                                                                                                                                        Comments

                                                                                                                                                                                                        Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                        Typestring
                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                        The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                        808. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029905-Blanksubsections.author
                                                                                                                                                                                                        Definition

                                                                                                                                                                                                        Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                        ShortWho and/or what authored the section
                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                        TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                        Identifies who is responsible for the content.

                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                        810. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029905-Blanksubsections.focus
                                                                                                                                                                                                        Definition

                                                                                                                                                                                                        The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                        ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                        Comments

                                                                                                                                                                                                        Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                        TypeReference(Resource)
                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                        812. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029905-Blanksubsections.text
                                                                                                                                                                                                        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.

                                                                                                                                                                                                        ShortText summary of the section, for human interpretation
                                                                                                                                                                                                        Comments

                                                                                                                                                                                                        Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                        This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                        TypeNarrative
                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                        814. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029905-Blanksubsections.orderedBy
                                                                                                                                                                                                        Definition

                                                                                                                                                                                                        Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                        ShortOrder of section entries
                                                                                                                                                                                                        Comments

                                                                                                                                                                                                        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.

                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                        BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                        (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                                                                                                                                                                                        What order applies to the items in the entry.

                                                                                                                                                                                                        TypeCodeableConcept
                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                        Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                        816. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029905-Blanksubsections.entry
                                                                                                                                                                                                        Definition

                                                                                                                                                                                                        A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                        ShortA reference to data that supports this section
                                                                                                                                                                                                        Comments

                                                                                                                                                                                                        If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                        This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                        TypeReference(Resource)
                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                        818. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029905-Blanksubsections.emptyReason
                                                                                                                                                                                                        Definition

                                                                                                                                                                                                        If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                        ShortWhy the section is empty
                                                                                                                                                                                                        Comments

                                                                                                                                                                                                        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.

                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                        This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                        BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                        (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                                                                                                                                                                                        If a section is empty, why it is empty.

                                                                                                                                                                                                        TypeCodeableConcept
                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                        Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                        820. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029905-Blanksubsections.section
                                                                                                                                                                                                        Definition

                                                                                                                                                                                                        A nested sub-section within this section.

                                                                                                                                                                                                        ShortNested Section
                                                                                                                                                                                                        Comments

                                                                                                                                                                                                        Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                        TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                        822. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029906
                                                                                                                                                                                                        Slice NameQRD-200000029906
                                                                                                                                                                                                        Definition

                                                                                                                                                                                                        A nested sub-section within this section.

                                                                                                                                                                                                        ShortNested Section
                                                                                                                                                                                                        Comments

                                                                                                                                                                                                        Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                        TypeBackboneElement
                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                        824. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029906.id
                                                                                                                                                                                                        Definition

                                                                                                                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                        ShortUnique id for inter-element referencing
                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                        This element is affected by the following invariants: ele-1
                                                                                                                                                                                                        Typestring
                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                        826. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029906.extension
                                                                                                                                                                                                        Definition

                                                                                                                                                                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                        ShortAdditional content defined by implementations
                                                                                                                                                                                                        Comments

                                                                                                                                                                                                        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.

                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                        TypeExtension
                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                        Alternate Namesextensions, user content
                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                        828. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029906.modifierExtension
                                                                                                                                                                                                        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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                                                                                                                                                                                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                        ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                        Comments

                                                                                                                                                                                                        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.

                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                        TypeExtension
                                                                                                                                                                                                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                        Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                        830. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029906.title
                                                                                                                                                                                                        Definition

                                                                                                                                                                                                        Section of level 3 with title Use in children and adolescents and code 200000029906

                                                                                                                                                                                                        ShortUse in children and adolescents
                                                                                                                                                                                                        Comments

                                                                                                                                                                                                        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.

                                                                                                                                                                                                        Control1..1
                                                                                                                                                                                                        Typestring
                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                        Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                        Alternate Namesheader, label, caption
                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                        832. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029906.code
                                                                                                                                                                                                        Definition

                                                                                                                                                                                                        A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                        ShortClassification of section (recommended)
                                                                                                                                                                                                        Comments

                                                                                                                                                                                                        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.

                                                                                                                                                                                                        Control1..1
                                                                                                                                                                                                        BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                        (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                                                                                                                                                        Classification of a section of a composition/document.

                                                                                                                                                                                                        TypeCodeableConcept
                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                        Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                        834. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029906.code.id
                                                                                                                                                                                                        Definition

                                                                                                                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                        ShortUnique id for inter-element referencing
                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                        This element is affected by the following invariants: ele-1
                                                                                                                                                                                                        Typeid
                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                        836. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029906.code.extension
                                                                                                                                                                                                        Definition

                                                                                                                                                                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                        ShortAdditional content defined by implementations
                                                                                                                                                                                                        Comments

                                                                                                                                                                                                        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.

                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                        TypeExtension
                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                        Alternate Namesextensions, user content
                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                        SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                        • value @ url
                                                                                                                                                                                                        • 838. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029906.code.coding
                                                                                                                                                                                                          Definition

                                                                                                                                                                                                          A reference to a code defined by a terminology system.

                                                                                                                                                                                                          ShortCode defined by a terminology system
                                                                                                                                                                                                          Comments

                                                                                                                                                                                                          Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                          TypeCoding
                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                          Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                          840. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029906.code.coding.id
                                                                                                                                                                                                          Definition

                                                                                                                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                          ShortUnique id for inter-element referencing
                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                          This element is affected by the following invariants: ele-1
                                                                                                                                                                                                          Typeid
                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                          842. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029906.code.coding.extension
                                                                                                                                                                                                          Definition

                                                                                                                                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                          ShortAdditional content defined by implementations
                                                                                                                                                                                                          Comments

                                                                                                                                                                                                          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.

                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                          TypeExtension
                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                          Alternate Namesextensions, user content
                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                          SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                          • value @ url
                                                                                                                                                                                                          • 844. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029906.code.coding.system
                                                                                                                                                                                                            Definition

                                                                                                                                                                                                            The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                                            ShortIdentity of the terminology system
                                                                                                                                                                                                            Comments

                                                                                                                                                                                                            The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                                            Control1..1
                                                                                                                                                                                                            Typeuri
                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                            Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                                            Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                            846. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029906.code.coding.version
                                                                                                                                                                                                            Definition

                                                                                                                                                                                                            The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                                            ShortVersion of the system - if relevant
                                                                                                                                                                                                            Comments

                                                                                                                                                                                                            Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                                            NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                            Typestring
                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                            848. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029906.code.coding.code
                                                                                                                                                                                                            Definition

                                                                                                                                                                                                            A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                                            ShortSymbol in syntax defined by the system
                                                                                                                                                                                                            Control1..1
                                                                                                                                                                                                            This element is affected by the following invariants: cod-1
                                                                                                                                                                                                            Typecode
                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                            Need to refer to a particular code in the system.

                                                                                                                                                                                                            Pattern Value200000029906
                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                            850. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029906.code.coding.display
                                                                                                                                                                                                            Definition

                                                                                                                                                                                                            A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                                            ShortRepresentation defined by the system
                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                            This element is affected by the following invariants: cod-1
                                                                                                                                                                                                            Typestring
                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                            Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                            852. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029906.code.coding.userSelected
                                                                                                                                                                                                            Definition

                                                                                                                                                                                                            Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                                            ShortIf this coding was chosen directly by the user
                                                                                                                                                                                                            Comments

                                                                                                                                                                                                            Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                            Typeboolean
                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                            This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                            854. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029906.code.text
                                                                                                                                                                                                            Definition

                                                                                                                                                                                                            A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                            ShortPlain text representation of the concept
                                                                                                                                                                                                            Comments

                                                                                                                                                                                                            Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                            Typestring
                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                            The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                            856. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029906.author
                                                                                                                                                                                                            Definition

                                                                                                                                                                                                            Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                            ShortWho and/or what authored the section
                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                            TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                            Identifies who is responsible for the content.

                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                            858. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029906.focus
                                                                                                                                                                                                            Definition

                                                                                                                                                                                                            The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                            ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                            Comments

                                                                                                                                                                                                            Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                            TypeReference(Resource)
                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                            860. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029906.text
                                                                                                                                                                                                            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.

                                                                                                                                                                                                            ShortText summary of the section, for human interpretation
                                                                                                                                                                                                            Comments

                                                                                                                                                                                                            Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                            This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                            TypeNarrative
                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                            862. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029906.orderedBy
                                                                                                                                                                                                            Definition

                                                                                                                                                                                                            Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                            ShortOrder of section entries
                                                                                                                                                                                                            Comments

                                                                                                                                                                                                            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.

                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                            BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                            (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                                                                                                                                                                                            What order applies to the items in the entry.

                                                                                                                                                                                                            TypeCodeableConcept
                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                            Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                            864. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029906.entry
                                                                                                                                                                                                            Definition

                                                                                                                                                                                                            A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                            ShortA reference to data that supports this section
                                                                                                                                                                                                            Comments

                                                                                                                                                                                                            If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                            This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                            TypeReference(Resource)
                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                            866. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029906.emptyReason
                                                                                                                                                                                                            Definition

                                                                                                                                                                                                            If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                            ShortWhy the section is empty
                                                                                                                                                                                                            Comments

                                                                                                                                                                                                            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.

                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                            This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                            BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                            (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                                                                                                                                                                                            If a section is empty, why it is empty.

                                                                                                                                                                                                            TypeCodeableConcept
                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                            Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                            868. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029906.section
                                                                                                                                                                                                            Definition

                                                                                                                                                                                                            A nested sub-section within this section.

                                                                                                                                                                                                            ShortNested Section
                                                                                                                                                                                                            Comments

                                                                                                                                                                                                            Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                            TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                            SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                                                                                                            • value @ code.coding.code
                                                                                                                                                                                                            • 870. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029907
                                                                                                                                                                                                              Slice NameQRD-200000029907
                                                                                                                                                                                                              Definition

                                                                                                                                                                                                              A nested sub-section within this section.

                                                                                                                                                                                                              ShortNested Section
                                                                                                                                                                                                              Comments

                                                                                                                                                                                                              Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                              TypeBackboneElement
                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                              872. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029907.id
                                                                                                                                                                                                              Definition

                                                                                                                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                              ShortUnique id for inter-element referencing
                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                              This element is affected by the following invariants: ele-1
                                                                                                                                                                                                              Typestring
                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                              874. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029907.extension
                                                                                                                                                                                                              Definition

                                                                                                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                              ShortAdditional content defined by implementations
                                                                                                                                                                                                              Comments

                                                                                                                                                                                                              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.

                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                              TypeExtension
                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                              Alternate Namesextensions, user content
                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                              876. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029907.modifierExtension
                                                                                                                                                                                                              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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                                                                                                                                                                                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                              ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                              Comments

                                                                                                                                                                                                              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.

                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                              TypeExtension
                                                                                                                                                                                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                              Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                              878. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029907.title
                                                                                                                                                                                                              Definition

                                                                                                                                                                                                              Section of level 3 with title If you take use more X than you should and code 200000029907

                                                                                                                                                                                                              ShortIf you take use more X than you should
                                                                                                                                                                                                              Comments

                                                                                                                                                                                                              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.

                                                                                                                                                                                                              Control1..1
                                                                                                                                                                                                              Typestring
                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                              Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                              Alternate Namesheader, label, caption
                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                              880. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029907.code
                                                                                                                                                                                                              Definition

                                                                                                                                                                                                              A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                              ShortClassification of section (recommended)
                                                                                                                                                                                                              Comments

                                                                                                                                                                                                              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.

                                                                                                                                                                                                              Control1..1
                                                                                                                                                                                                              BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                              (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                                                                                                                                                              Classification of a section of a composition/document.

                                                                                                                                                                                                              TypeCodeableConcept
                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                              Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                              882. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029907.code.id
                                                                                                                                                                                                              Definition

                                                                                                                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                              ShortUnique id for inter-element referencing
                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                              This element is affected by the following invariants: ele-1
                                                                                                                                                                                                              Typeid
                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                              884. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029907.code.extension
                                                                                                                                                                                                              Definition

                                                                                                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                              ShortAdditional content defined by implementations
                                                                                                                                                                                                              Comments

                                                                                                                                                                                                              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.

                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                              TypeExtension
                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                              Alternate Namesextensions, user content
                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                              SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                              • value @ url
                                                                                                                                                                                                              • 886. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029907.code.coding
                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                A reference to a code defined by a terminology system.

                                                                                                                                                                                                                ShortCode defined by a terminology system
                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                TypeCoding
                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                888. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029907.code.coding.id
                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                ShortUnique id for inter-element referencing
                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                Typeid
                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                890. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029907.code.coding.extension
                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                ShortAdditional content defined by implementations
                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                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.

                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                TypeExtension
                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                Alternate Namesextensions, user content
                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                • value @ url
                                                                                                                                                                                                                • 892. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029907.code.coding.system
                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                  The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                                                  ShortIdentity of the terminology system
                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                  The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                                                  Control1..1
                                                                                                                                                                                                                  Typeuri
                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                  Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                                                  Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                  894. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029907.code.coding.version
                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                  The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                                                  ShortVersion of the system - if relevant
                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                  Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                                                  NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                  Typestring
                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                  896. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029907.code.coding.code
                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                  A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                                                  ShortSymbol in syntax defined by the system
                                                                                                                                                                                                                  Control1..1
                                                                                                                                                                                                                  This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                  Typecode
                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                  Need to refer to a particular code in the system.

                                                                                                                                                                                                                  Pattern Value200000029907
                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                  898. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029907.code.coding.display
                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                  A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                                                  ShortRepresentation defined by the system
                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                  This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                  Typestring
                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                  Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                  900. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029907.code.coding.userSelected
                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                  Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                                                  ShortIf this coding was chosen directly by the user
                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                  Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                  Typeboolean
                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                  This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                  902. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029907.code.text
                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                  A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                                  ShortPlain text representation of the concept
                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                  Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                  Typestring
                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                  The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                  904. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029907.author
                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                  Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                  ShortWho and/or what authored the section
                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                  TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                  Identifies who is responsible for the content.

                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                  906. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029907.focus
                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                  The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                  ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                  Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                  TypeReference(Resource)
                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                  908. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029907.text
                                                                                                                                                                                                                  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.

                                                                                                                                                                                                                  ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                  Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                  This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                  TypeNarrative
                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                  910. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029907.orderedBy
                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                  Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                  ShortOrder of section entries
                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                  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.

                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                  BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                  (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                                                                                                                                                                                                  What order applies to the items in the entry.

                                                                                                                                                                                                                  TypeCodeableConcept
                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                  Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                  912. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029907.entry
                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                  A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                  ShortA reference to data that supports this section
                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                  If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                  This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                  TypeReference(Resource)
                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                  914. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029907.emptyReason
                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                  If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                  ShortWhy the section is empty
                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                  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.

                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                  This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                  BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                                  (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                                                                                                                                                                                                  If a section is empty, why it is empty.

                                                                                                                                                                                                                  TypeCodeableConcept
                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                  Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                  916. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029907.section
                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                  A nested sub-section within this section.

                                                                                                                                                                                                                  ShortNested Section
                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                  Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                  TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                  SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                  • value @ code.coding.code
                                                                                                                                                                                                                  • 918. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029908
                                                                                                                                                                                                                    Slice NameQRD-200000029908
                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                    A nested sub-section within this section.

                                                                                                                                                                                                                    ShortNested Section
                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                    Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                    TypeBackboneElement
                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                    920. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029908.id
                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                    ShortUnique id for inter-element referencing
                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                    Typestring
                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                    922. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029908.extension
                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                    ShortAdditional content defined by implementations
                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                    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.

                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                    TypeExtension
                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                    Alternate Namesextensions, user content
                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                    924. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029908.modifierExtension
                                                                                                                                                                                                                    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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                                                                                                                                                                                                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                    ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                    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.

                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                    TypeExtension
                                                                                                                                                                                                                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                    Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                    926. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029908.title
                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                    Section of level 3 with title If you forget to take use X and code 200000029908

                                                                                                                                                                                                                    ShortIf you forget to take use X
                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                    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.

                                                                                                                                                                                                                    Control1..1
                                                                                                                                                                                                                    Typestring
                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                    Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                    Alternate Namesheader, label, caption
                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                    928. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029908.code
                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                    A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                    ShortClassification of section (recommended)
                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                    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.

                                                                                                                                                                                                                    Control1..1
                                                                                                                                                                                                                    BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                    (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                                                                                                                                                                    Classification of a section of a composition/document.

                                                                                                                                                                                                                    TypeCodeableConcept
                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                    Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                    930. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029908.code.id
                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                    ShortUnique id for inter-element referencing
                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                    Typeid
                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                    932. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029908.code.extension
                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                    ShortAdditional content defined by implementations
                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                    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.

                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                    TypeExtension
                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                    Alternate Namesextensions, user content
                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                    SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                    • value @ url
                                                                                                                                                                                                                    • 934. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029908.code.coding
                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                      A reference to a code defined by a terminology system.

                                                                                                                                                                                                                      ShortCode defined by a terminology system
                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                      TypeCoding
                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                      Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                      936. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029908.code.coding.id
                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                      ShortUnique id for inter-element referencing
                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                      This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                      Typeid
                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                      938. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029908.code.coding.extension
                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                      ShortAdditional content defined by implementations
                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                      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.

                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                      TypeExtension
                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                      Alternate Namesextensions, user content
                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                      SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                      • value @ url
                                                                                                                                                                                                                      • 940. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029908.code.coding.system
                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                        The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                                                        ShortIdentity of the terminology system
                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                        The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                                                        Control1..1
                                                                                                                                                                                                                        Typeuri
                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                        Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                                                        Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                        942. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029908.code.coding.version
                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                        The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                                                        ShortVersion of the system - if relevant
                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                        Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                                                        NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                        Typestring
                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                        944. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029908.code.coding.code
                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                        A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                                                        ShortSymbol in syntax defined by the system
                                                                                                                                                                                                                        Control1..1
                                                                                                                                                                                                                        This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                        Typecode
                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                        Need to refer to a particular code in the system.

                                                                                                                                                                                                                        Pattern Value200000029908
                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                        946. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029908.code.coding.display
                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                        A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                                                        ShortRepresentation defined by the system
                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                        This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                        Typestring
                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                        Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                        948. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029908.code.coding.userSelected
                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                        Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                                                        ShortIf this coding was chosen directly by the user
                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                        Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                        Typeboolean
                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                        This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                        950. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029908.code.text
                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                        A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                                        ShortPlain text representation of the concept
                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                        Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                        Typestring
                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                        The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                        952. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029908.author
                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                        Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                        ShortWho and/or what authored the section
                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                        TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                        Identifies who is responsible for the content.

                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                        954. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029908.focus
                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                        The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                        ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                        Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                        TypeReference(Resource)
                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                        956. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029908.text
                                                                                                                                                                                                                        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.

                                                                                                                                                                                                                        ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                        Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                        This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                        TypeNarrative
                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                        958. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029908.orderedBy
                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                        Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                        ShortOrder of section entries
                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                        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.

                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                        BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                        (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                                                                                                                                                                                                        What order applies to the items in the entry.

                                                                                                                                                                                                                        TypeCodeableConcept
                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                        Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                        960. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029908.entry
                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                        A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                        ShortA reference to data that supports this section
                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                        If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                        This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                        TypeReference(Resource)
                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                        962. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029908.emptyReason
                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                        If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                        ShortWhy the section is empty
                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                        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.

                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                        This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                        BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                                        (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                                                                                                                                                                                                        If a section is empty, why it is empty.

                                                                                                                                                                                                                        TypeCodeableConcept
                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                        Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                        964. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029908.section
                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                        A nested sub-section within this section.

                                                                                                                                                                                                                        ShortNested Section
                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                        Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                        TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                        SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                        • value @ code.coding.code
                                                                                                                                                                                                                        • 966. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029909
                                                                                                                                                                                                                          Slice NameQRD-200000029909
                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                          A nested sub-section within this section.

                                                                                                                                                                                                                          ShortNested Section
                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                          Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                          TypeBackboneElement
                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                          968. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029909.id
                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                          ShortUnique id for inter-element referencing
                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                          This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                          Typestring
                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                          970. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029909.extension
                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                          ShortAdditional content defined by implementations
                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                          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.

                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                          TypeExtension
                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                          Alternate Namesextensions, user content
                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                          972. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029909.modifierExtension
                                                                                                                                                                                                                          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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                                                                                                                                                                                                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                          ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                          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.

                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                          TypeExtension
                                                                                                                                                                                                                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                          Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                          974. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029909.title
                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                          Section of level 3 with title If you stop taking using X and code 200000029909

                                                                                                                                                                                                                          ShortIf you stop taking using X
                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                          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.

                                                                                                                                                                                                                          Control1..1
                                                                                                                                                                                                                          Typestring
                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                          Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                          Alternate Namesheader, label, caption
                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                          976. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029909.code
                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                          A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                          ShortClassification of section (recommended)
                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                          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.

                                                                                                                                                                                                                          Control1..1
                                                                                                                                                                                                                          BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                          (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                                                                                                                                                                          Classification of a section of a composition/document.

                                                                                                                                                                                                                          TypeCodeableConcept
                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                          Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                          978. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029909.code.id
                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                          ShortUnique id for inter-element referencing
                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                          This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                          Typeid
                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                          980. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029909.code.extension
                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                          ShortAdditional content defined by implementations
                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                          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.

                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                          TypeExtension
                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                          Alternate Namesextensions, user content
                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                          SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                          • value @ url
                                                                                                                                                                                                                          • 982. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029909.code.coding
                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                            A reference to a code defined by a terminology system.

                                                                                                                                                                                                                            ShortCode defined by a terminology system
                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                            Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                                            TypeCoding
                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                            Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                            984. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029909.code.coding.id
                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                            ShortUnique id for inter-element referencing
                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                            This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                            Typeid
                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                            986. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029909.code.coding.extension
                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                            ShortAdditional content defined by implementations
                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                            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.

                                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                                            TypeExtension
                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                            Alternate Namesextensions, user content
                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                            SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                            • value @ url
                                                                                                                                                                                                                            • 988. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029909.code.coding.system
                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                              The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                                                              ShortIdentity of the terminology system
                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                              The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                                                              Control1..1
                                                                                                                                                                                                                              Typeuri
                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                              Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                                                              Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                              990. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029909.code.coding.version
                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                              The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                                                              ShortVersion of the system - if relevant
                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                              Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                                                              NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                              Typestring
                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                              992. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029909.code.coding.code
                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                              A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                                                              ShortSymbol in syntax defined by the system
                                                                                                                                                                                                                              Control1..1
                                                                                                                                                                                                                              This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                              Typecode
                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                              Need to refer to a particular code in the system.

                                                                                                                                                                                                                              Pattern Value200000029909
                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                              994. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029909.code.coding.display
                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                              A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                                                              ShortRepresentation defined by the system
                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                              This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                              Typestring
                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                              Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                              996. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029909.code.coding.userSelected
                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                              Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                                                              ShortIf this coding was chosen directly by the user
                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                              Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                              Typeboolean
                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                              This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                              998. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029909.code.text
                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                              A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                                              ShortPlain text representation of the concept
                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                              Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                              Typestring
                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                              The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                              1000. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029909.author
                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                              Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                              ShortWho and/or what authored the section
                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                              TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                              Identifies who is responsible for the content.

                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                              1002. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029909.focus
                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                              The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                              ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                              Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                              TypeReference(Resource)
                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                              1004. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029909.text
                                                                                                                                                                                                                              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.

                                                                                                                                                                                                                              ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                              Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                              This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                              TypeNarrative
                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                              1006. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029909.orderedBy
                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                              Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                              ShortOrder of section entries
                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                              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.

                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                              BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                              (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                                                                                                                                                                                                              What order applies to the items in the entry.

                                                                                                                                                                                                                              TypeCodeableConcept
                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                              Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                              1008. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029909.entry
                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                              A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                              ShortA reference to data that supports this section
                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                              This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                              TypeReference(Resource)
                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                              1010. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029909.emptyReason
                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                              If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                              ShortWhy the section is empty
                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                              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.

                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                              This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                              BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                                              (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                                                                                                                                                                                                              If a section is empty, why it is empty.

                                                                                                                                                                                                                              TypeCodeableConcept
                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                              Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                              1012. Composition.section:QRD-200000029894.section:QRD-200000029905.section:QRD-200000029909.section
                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                              A nested sub-section within this section.

                                                                                                                                                                                                                              ShortNested Section
                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                              Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                              TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                              SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                              • value @ code.coding.code
                                                                                                                                                                                                                              • 1014. Composition.section:QRD-200000029894.section:QRD-200000029910
                                                                                                                                                                                                                                Slice NameQRD-200000029910
                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                A nested sub-section within this section.

                                                                                                                                                                                                                                ShortNested Section
                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                Control1..1
                                                                                                                                                                                                                                TypeBackboneElement
                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                1016. Composition.section:QRD-200000029894.section:QRD-200000029910.id
                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                Typestring
                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                1018. Composition.section:QRD-200000029894.section:QRD-200000029910.extension
                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                ShortAdditional content defined by implementations
                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                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.

                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                TypeExtension
                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                Alternate Namesextensions, user content
                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                1020. Composition.section:QRD-200000029894.section:QRD-200000029910.modifierExtension
                                                                                                                                                                                                                                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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                                                                                                                                                                                                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                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.

                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                TypeExtension
                                                                                                                                                                                                                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                1022. Composition.section:QRD-200000029894.section:QRD-200000029910.title
                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                Section of level 2 with title 4. Possible side effects and code 200000029910

                                                                                                                                                                                                                                Short4. Possible side effects
                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                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.

                                                                                                                                                                                                                                Control1..1
                                                                                                                                                                                                                                Typestring
                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                                Alternate Namesheader, label, caption
                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                1024. Composition.section:QRD-200000029894.section:QRD-200000029910.code
                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                                ShortClassification of section (recommended)
                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                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.

                                                                                                                                                                                                                                Control1..1
                                                                                                                                                                                                                                BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                                (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                                                                                                                                                                                Classification of a section of a composition/document.

                                                                                                                                                                                                                                TypeCodeableConcept
                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                1026. Composition.section:QRD-200000029894.section:QRD-200000029910.code.id
                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                Typeid
                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                1028. Composition.section:QRD-200000029894.section:QRD-200000029910.code.extension
                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                ShortAdditional content defined by implementations
                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                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.

                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                TypeExtension
                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                Alternate Namesextensions, user content
                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                SlicingThis element introduces a set of slices on Composition.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                • value @ url
                                                                                                                                                                                                                                • 1030. Composition.section:QRD-200000029894.section:QRD-200000029910.code.coding
                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                  A reference to a code defined by a terminology system.

                                                                                                                                                                                                                                  ShortCode defined by a terminology system
                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                  Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                                  TypeCoding
                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                  Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                  1032. Composition.section:QRD-200000029894.section:QRD-200000029910.code.coding.id
                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                  This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                  Typeid
                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                  1034. Composition.section:QRD-200000029894.section:QRD-200000029910.code.coding.extension
                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                  ShortAdditional content defined by implementations
                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                  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.

                                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                                  TypeExtension
                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                  Alternate Namesextensions, user content
                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                  SlicingThis element introduces a set of slices on Composition.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                  • value @ url
                                                                                                                                                                                                                                  • 1036. Composition.section:QRD-200000029894.section:QRD-200000029910.code.coding.system
                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                    The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                                                                    ShortIdentity of the terminology system
                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                    The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                                                                    Control1..1
                                                                                                                                                                                                                                    Typeuri
                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                    Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                                                                    Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                    1038. Composition.section:QRD-200000029894.section:QRD-200000029910.code.coding.version
                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                    The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                                                                    ShortVersion of the system - if relevant
                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                    Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                                                                    NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                    Typestring
                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                    1040. Composition.section:QRD-200000029894.section:QRD-200000029910.code.coding.code
                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                    A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                                                                    ShortSymbol in syntax defined by the system
                                                                                                                                                                                                                                    Control1..1
                                                                                                                                                                                                                                    This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                    Typecode
                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                    Need to refer to a particular code in the system.

                                                                                                                                                                                                                                    Pattern Value200000029910
                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                    1042. Composition.section:QRD-200000029894.section:QRD-200000029910.code.coding.display
                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                    A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                                                                    ShortRepresentation defined by the system
                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                    This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                    Typestring
                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                    Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                    1044. Composition.section:QRD-200000029894.section:QRD-200000029910.code.coding.userSelected
                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                    Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                                                                    ShortIf this coding was chosen directly by the user
                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                    Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                    Typeboolean
                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                    This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                    1046. Composition.section:QRD-200000029894.section:QRD-200000029910.code.text
                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                    A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                                                    ShortPlain text representation of the concept
                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                    Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                    Typestring
                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                    The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                    1048. Composition.section:QRD-200000029894.section:QRD-200000029910.author
                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                    Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                                    ShortWho and/or what authored the section
                                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                                    TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                    Identifies who is responsible for the content.

                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                    1050. Composition.section:QRD-200000029894.section:QRD-200000029910.focus
                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                    The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                                    ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                    Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                    TypeReference(Resource)
                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                    1052. Composition.section:QRD-200000029894.section:QRD-200000029910.text
                                                                                                                                                                                                                                    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.

                                                                                                                                                                                                                                    ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                    Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                    This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                                    TypeNarrative
                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                    1054. Composition.section:QRD-200000029894.section:QRD-200000029910.orderedBy
                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                    Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                                    ShortOrder of section entries
                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                    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.

                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                    BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                                    (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                                                                                                                                                                                                                    What order applies to the items in the entry.

                                                                                                                                                                                                                                    TypeCodeableConcept
                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                    Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                    1056. Composition.section:QRD-200000029894.section:QRD-200000029910.entry
                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                    A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                    ShortA reference to data that supports this section
                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                    If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                                    This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                    TypeReference(Resource)
                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                    1058. Composition.section:QRD-200000029894.section:QRD-200000029910.emptyReason
                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                    If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                                    ShortWhy the section is empty
                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                    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.

                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                    This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                                    BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                                                    (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                                                                                                                                                                                                                    If a section is empty, why it is empty.

                                                                                                                                                                                                                                    TypeCodeableConcept
                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                    Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                    1060. Composition.section:QRD-200000029894.section:QRD-200000029910.section
                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                    A nested sub-section within this section.

                                                                                                                                                                                                                                    ShortNested Section
                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                    Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                    Control1..*
                                                                                                                                                                                                                                    TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                    SlicingThis element introduces a set of slices on Composition.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                    • value @ code.coding.code
                                                                                                                                                                                                                                    • 1062. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029910-Blanksubsections
                                                                                                                                                                                                                                      Slice NameQRD-200000029910-Blanksubsections
                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                      A nested sub-section within this section.

                                                                                                                                                                                                                                      ShortNested Section
                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                      Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                      TypeBackboneElement
                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                      1064. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029910-Blanksubsections.id
                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                      ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                      This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                      Typestring
                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                      1066. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029910-Blanksubsections.extension
                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                      ShortAdditional content defined by implementations
                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                      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.

                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                      TypeExtension
                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                      Alternate Namesextensions, user content
                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                      1068. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029910-Blanksubsections.modifierExtension
                                                                                                                                                                                                                                      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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                                                                                                                                                                                                                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                      ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                      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.

                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                      TypeExtension
                                                                                                                                                                                                                                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                      Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                      1070. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029910-Blanksubsections.title
                                                                                                                                                                                                                                      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.

                                                                                                                                                                                                                                      ShortLabel for section (e.g. for ToC)
                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                      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.

                                                                                                                                                                                                                                      Control1..1
                                                                                                                                                                                                                                      Typestring
                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                      Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                                      Alternate Namesheader, label, caption
                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                      1072. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029910-Blanksubsections.code
                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                      A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                                      ShortClassification of section (recommended)
                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                      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.

                                                                                                                                                                                                                                      Control1..1
                                                                                                                                                                                                                                      BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                                      (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                                                                                                                                                                                      Classification of a section of a composition/document.

                                                                                                                                                                                                                                      TypeCodeableConcept
                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                      Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                      1074. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029910-Blanksubsections.code.id
                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                      ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                      This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                      Typeid
                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                      1076. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029910-Blanksubsections.code.extension
                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                      ShortAdditional content defined by implementations
                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                      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.

                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                      TypeExtension
                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                      Alternate Namesextensions, user content
                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                      SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                      • value @ url
                                                                                                                                                                                                                                      • 1078. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029910-Blanksubsections.code.coding
                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                        A reference to a code defined by a terminology system.

                                                                                                                                                                                                                                        ShortCode defined by a terminology system
                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                        Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                                        TypeCoding
                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                                        Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                        1080. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029910-Blanksubsections.code.coding.id
                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                        ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                        This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                        Typeid
                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                        1082. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029910-Blanksubsections.code.coding.extension
                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                        ShortAdditional content defined by implementations
                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                        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.

                                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                                        TypeExtension
                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                        Alternate Namesextensions, user content
                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                        SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                        • value @ url
                                                                                                                                                                                                                                        • 1084. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029910-Blanksubsections.code.coding.system
                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                          The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                                                                          ShortIdentity of the terminology system
                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                          The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                                                                          Control1..1
                                                                                                                                                                                                                                          Typeuri
                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                          Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                                                                          Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                          1086. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029910-Blanksubsections.code.coding.version
                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                          The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                                                                          ShortVersion of the system - if relevant
                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                          Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                                                                          NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                          Typestring
                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                          1088. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029910-Blanksubsections.code.coding.code
                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                          A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                                                                          ShortSymbol in syntax defined by the system
                                                                                                                                                                                                                                          Control1..1
                                                                                                                                                                                                                                          This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                          Typecode
                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                          Need to refer to a particular code in the system.

                                                                                                                                                                                                                                          Pattern Value200000044346
                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                          1090. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029910-Blanksubsections.code.coding.display
                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                          A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                                                                          ShortRepresentation defined by the system
                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                          This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                          Typestring
                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                          Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                          1092. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029910-Blanksubsections.code.coding.userSelected
                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                          Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                                                                          ShortIf this coding was chosen directly by the user
                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                          Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                          Typeboolean
                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                          This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                          1094. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029910-Blanksubsections.code.text
                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                          A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                                                          ShortPlain text representation of the concept
                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                          Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                          Typestring
                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                          The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                          1096. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029910-Blanksubsections.author
                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                          Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                                          ShortWho and/or what authored the section
                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                          TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                          Identifies who is responsible for the content.

                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                          1098. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029910-Blanksubsections.focus
                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                          The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                                          ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                          Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                          TypeReference(Resource)
                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                          1100. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029910-Blanksubsections.text
                                                                                                                                                                                                                                          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.

                                                                                                                                                                                                                                          ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                          Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                          This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                                          TypeNarrative
                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                          1102. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029910-Blanksubsections.orderedBy
                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                          Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                                          ShortOrder of section entries
                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                          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.

                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                          BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                                          (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                                                                                                                                                                                                                          What order applies to the items in the entry.

                                                                                                                                                                                                                                          TypeCodeableConcept
                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                          Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                          1104. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029910-Blanksubsections.entry
                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                          A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                          ShortA reference to data that supports this section
                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                          If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                          This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                          TypeReference(Resource)
                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                          1106. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029910-Blanksubsections.emptyReason
                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                          If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                                          ShortWhy the section is empty
                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                          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.

                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                          This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                                          BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                                                          (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                                                                                                                                                                                                                          If a section is empty, why it is empty.

                                                                                                                                                                                                                                          TypeCodeableConcept
                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                          Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                          1108. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029910-Blanksubsections.section
                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                          A nested sub-section within this section.

                                                                                                                                                                                                                                          ShortNested Section
                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                          Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                          TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                          1110. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029911
                                                                                                                                                                                                                                          Slice NameQRD-200000029911
                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                          A nested sub-section within this section.

                                                                                                                                                                                                                                          ShortNested Section
                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                          Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                          TypeBackboneElement
                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                          1112. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029911.id
                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                          ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                          This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                          Typestring
                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                          1114. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029911.extension
                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                          ShortAdditional content defined by implementations
                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                          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.

                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                          TypeExtension
                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                          Alternate Namesextensions, user content
                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                          1116. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029911.modifierExtension
                                                                                                                                                                                                                                          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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                                                                                                                                                                                                                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                          ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                          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.

                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                          TypeExtension
                                                                                                                                                                                                                                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                          Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                          1118. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029911.title
                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                          Section of level 3 with title Additional side effects in children and adolescents and code 200000029911

                                                                                                                                                                                                                                          ShortAdditional side effects in children and adolescents
                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                          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.

                                                                                                                                                                                                                                          Control1..1
                                                                                                                                                                                                                                          Typestring
                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                          Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                                          Alternate Namesheader, label, caption
                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                          1120. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029911.code
                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                          A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                                          ShortClassification of section (recommended)
                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                          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.

                                                                                                                                                                                                                                          Control1..1
                                                                                                                                                                                                                                          BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                                          (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                                                                                                                                                                                          Classification of a section of a composition/document.

                                                                                                                                                                                                                                          TypeCodeableConcept
                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                          Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                          1122. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029911.code.id
                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                          ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                          This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                          Typeid
                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                          1124. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029911.code.extension
                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                          ShortAdditional content defined by implementations
                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                          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.

                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                          TypeExtension
                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                          Alternate Namesextensions, user content
                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                          SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                          • value @ url
                                                                                                                                                                                                                                          • 1126. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029911.code.coding
                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                            A reference to a code defined by a terminology system.

                                                                                                                                                                                                                                            ShortCode defined by a terminology system
                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                            Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                                                            TypeCoding
                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                                            Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                            1128. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029911.code.coding.id
                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                            ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                                            This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                            Typeid
                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                            1130. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029911.code.coding.extension
                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                            ShortAdditional content defined by implementations
                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                            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.

                                                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                                                            TypeExtension
                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                            Alternate Namesextensions, user content
                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                            SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                            • value @ url
                                                                                                                                                                                                                                            • 1132. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029911.code.coding.system
                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                              The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                                                                              ShortIdentity of the terminology system
                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                              The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                                                                              Control1..1
                                                                                                                                                                                                                                              Typeuri
                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                              Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                                                                              Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                              1134. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029911.code.coding.version
                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                              The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                                                                              ShortVersion of the system - if relevant
                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                              Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                                                                              NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                              Typestring
                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                              1136. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029911.code.coding.code
                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                              A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                                                                              ShortSymbol in syntax defined by the system
                                                                                                                                                                                                                                              Control1..1
                                                                                                                                                                                                                                              This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                              Typecode
                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                              Need to refer to a particular code in the system.

                                                                                                                                                                                                                                              Pattern Value200000029911
                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                              1138. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029911.code.coding.display
                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                              A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                                                                              ShortRepresentation defined by the system
                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                              This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                              Typestring
                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                              Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                              1140. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029911.code.coding.userSelected
                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                              Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                                                                              ShortIf this coding was chosen directly by the user
                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                              Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                              Typeboolean
                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                              This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                              1142. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029911.code.text
                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                              A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                                                              ShortPlain text representation of the concept
                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                              Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                              Typestring
                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                              The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                              1144. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029911.author
                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                              Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                                              ShortWho and/or what authored the section
                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                              TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                              Identifies who is responsible for the content.

                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                              1146. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029911.focus
                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                              The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                                              ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                              Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                              TypeReference(Resource)
                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                              1148. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029911.text
                                                                                                                                                                                                                                              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.

                                                                                                                                                                                                                                              ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                              Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                              This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                                              TypeNarrative
                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                              1150. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029911.orderedBy
                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                              Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                                              ShortOrder of section entries
                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                              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.

                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                              BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                                              (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                                                                                                                                                                                                                              What order applies to the items in the entry.

                                                                                                                                                                                                                                              TypeCodeableConcept
                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                              Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                              1152. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029911.entry
                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                              A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                              ShortA reference to data that supports this section
                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                              This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                              TypeReference(Resource)
                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                              1154. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029911.emptyReason
                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                              If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                                              ShortWhy the section is empty
                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                              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.

                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                              This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                                              BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                                                              (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                                                                                                                                                                                                                              If a section is empty, why it is empty.

                                                                                                                                                                                                                                              TypeCodeableConcept
                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                              Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                              1156. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029911.section
                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                              A nested sub-section within this section.

                                                                                                                                                                                                                                              ShortNested Section
                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                              Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                              TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                              SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                              • value @ code.coding.code
                                                                                                                                                                                                                                              • 1158. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029912
                                                                                                                                                                                                                                                Slice NameQRD-200000029912
                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                A nested sub-section within this section.

                                                                                                                                                                                                                                                ShortNested Section
                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                Control1..1
                                                                                                                                                                                                                                                TypeBackboneElement
                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                1160. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029912.id
                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                Typestring
                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                1162. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029912.extension
                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                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.

                                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                                TypeExtension
                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                Alternate Namesextensions, user content
                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                1164. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029912.modifierExtension
                                                                                                                                                                                                                                                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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                                                                                                                                                                                                                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                                ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                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.

                                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                                TypeExtension
                                                                                                                                                                                                                                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                                Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                1166. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029912.title
                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                Section of level 3 with title Reporting of side effects and code 200000029912

                                                                                                                                                                                                                                                ShortReporting of side effects
                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                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.

                                                                                                                                                                                                                                                Control1..1
                                                                                                                                                                                                                                                Typestring
                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                                                Alternate Namesheader, label, caption
                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                1168. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029912.code
                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                                                ShortClassification of section (recommended)
                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                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.

                                                                                                                                                                                                                                                Control1..1
                                                                                                                                                                                                                                                BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                                                (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                                                                                                                                                                                                Classification of a section of a composition/document.

                                                                                                                                                                                                                                                TypeCodeableConcept
                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                1170. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029912.code.id
                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                Typeid
                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                1172. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029912.code.extension
                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                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.

                                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                                TypeExtension
                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                Alternate Namesextensions, user content
                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                • value @ url
                                                                                                                                                                                                                                                • 1174. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029912.code.coding
                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                  A reference to a code defined by a terminology system.

                                                                                                                                                                                                                                                  ShortCode defined by a terminology system
                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                  Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                                                  TypeCoding
                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                  Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                  1176. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029912.code.coding.id
                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                  This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                  Typeid
                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                  1178. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029912.code.coding.extension
                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                  ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                  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.

                                                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                                                  TypeExtension
                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                  Alternate Namesextensions, user content
                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                  SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                  • value @ url
                                                                                                                                                                                                                                                  • 1180. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029912.code.coding.system
                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                    The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                                                                                    ShortIdentity of the terminology system
                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                    The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                                                                                    Control1..1
                                                                                                                                                                                                                                                    Typeuri
                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                    Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                                                                                    Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                    1182. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029912.code.coding.version
                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                    The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                                                                                    ShortVersion of the system - if relevant
                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                    Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                                                                                    NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                    Typestring
                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                    1184. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029912.code.coding.code
                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                    A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                                                                                    ShortSymbol in syntax defined by the system
                                                                                                                                                                                                                                                    Control1..1
                                                                                                                                                                                                                                                    This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                    Typecode
                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                    Need to refer to a particular code in the system.

                                                                                                                                                                                                                                                    Pattern Value200000029912
                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                    1186. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029912.code.coding.display
                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                    A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                                                                                    ShortRepresentation defined by the system
                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                    This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                    Typestring
                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                    Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                    1188. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029912.code.coding.userSelected
                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                    Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                                                                                    ShortIf this coding was chosen directly by the user
                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                    Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                    Typeboolean
                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                    This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                    1190. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029912.code.text
                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                    A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                                                                    ShortPlain text representation of the concept
                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                    Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                    Typestring
                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                    The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                    1192. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029912.author
                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                    Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                                                    ShortWho and/or what authored the section
                                                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                                                    TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                    Identifies who is responsible for the content.

                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                    1194. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029912.focus
                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                    The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                                                    ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                    Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                    TypeReference(Resource)
                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                    1196. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029912.text
                                                                                                                                                                                                                                                    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.

                                                                                                                                                                                                                                                    ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                    Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                    This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                                                    TypeNarrative
                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                    1198. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029912.orderedBy
                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                    Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                                                    ShortOrder of section entries
                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                    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.

                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                    BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                                                    (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                                                                                                                                                                                                                                    What order applies to the items in the entry.

                                                                                                                                                                                                                                                    TypeCodeableConcept
                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                    Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                    1200. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029912.entry
                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                    A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                                    ShortA reference to data that supports this section
                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                    If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                                                    This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                    TypeReference(Resource)
                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                    1202. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029912.emptyReason
                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                    If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                                                    ShortWhy the section is empty
                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                    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.

                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                    This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                                                    BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                                                                    (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                                                                                                                                                                                                                                    If a section is empty, why it is empty.

                                                                                                                                                                                                                                                    TypeCodeableConcept
                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                    Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                    1204. Composition.section:QRD-200000029894.section:QRD-200000029910.section:QRD-200000029912.section
                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                    A nested sub-section within this section.

                                                                                                                                                                                                                                                    ShortNested Section
                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                    Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                                                    TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                    SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                    • value @ code.coding.code
                                                                                                                                                                                                                                                    • 1206. Composition.section:QRD-200000029894.section:QRD-200000029913
                                                                                                                                                                                                                                                      Slice NameQRD-200000029913
                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                      A nested sub-section within this section.

                                                                                                                                                                                                                                                      ShortNested Section
                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                      Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                      Control1..1
                                                                                                                                                                                                                                                      TypeBackboneElement
                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                      1208. Composition.section:QRD-200000029894.section:QRD-200000029913.id
                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                      ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                      This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                      Typestring
                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                      1210. Composition.section:QRD-200000029894.section:QRD-200000029913.extension
                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                      ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                      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.

                                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                                      TypeExtension
                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                      Alternate Namesextensions, user content
                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                      1212. Composition.section:QRD-200000029894.section:QRD-200000029913.modifierExtension
                                                                                                                                                                                                                                                      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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                                                                                                                                                                                                                                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                                      ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                      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.

                                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                                      TypeExtension
                                                                                                                                                                                                                                                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                                      Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                      1214. Composition.section:QRD-200000029894.section:QRD-200000029913.title
                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                      Section of level 2 with title 5. How to store X and code 200000029913

                                                                                                                                                                                                                                                      Short5. How to store X
                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                      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.

                                                                                                                                                                                                                                                      Control1..1
                                                                                                                                                                                                                                                      Typestring
                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                      Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                                                      Alternate Namesheader, label, caption
                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                      1216. Composition.section:QRD-200000029894.section:QRD-200000029913.code
                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                      A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                                                      ShortClassification of section (recommended)
                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                      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.

                                                                                                                                                                                                                                                      Control1..1
                                                                                                                                                                                                                                                      BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                                                      (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                                                                                                                                                                                                      Classification of a section of a composition/document.

                                                                                                                                                                                                                                                      TypeCodeableConcept
                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                      Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                      1218. Composition.section:QRD-200000029894.section:QRD-200000029913.code.id
                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                      ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                      This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                      Typeid
                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                      1220. Composition.section:QRD-200000029894.section:QRD-200000029913.code.extension
                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                      ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                      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.

                                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                                      TypeExtension
                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                      Alternate Namesextensions, user content
                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                      SlicingThis element introduces a set of slices on Composition.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                      • value @ url
                                                                                                                                                                                                                                                      • 1222. Composition.section:QRD-200000029894.section:QRD-200000029913.code.coding
                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                        A reference to a code defined by a terminology system.

                                                                                                                                                                                                                                                        ShortCode defined by a terminology system
                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                        Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                                                        TypeCoding
                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                                                        Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                        1224. Composition.section:QRD-200000029894.section:QRD-200000029913.code.coding.id
                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                        ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                                        This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                        Typeid
                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                        1226. Composition.section:QRD-200000029894.section:QRD-200000029913.code.coding.extension
                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                        ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                        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.

                                                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                                                        TypeExtension
                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                        Alternate Namesextensions, user content
                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                        SlicingThis element introduces a set of slices on Composition.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                        • value @ url
                                                                                                                                                                                                                                                        • 1228. Composition.section:QRD-200000029894.section:QRD-200000029913.code.coding.system
                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                          The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                                                                                          ShortIdentity of the terminology system
                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                          The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                                                                                          Control1..1
                                                                                                                                                                                                                                                          Typeuri
                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                          Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                                                                                          Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                          1230. Composition.section:QRD-200000029894.section:QRD-200000029913.code.coding.version
                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                          The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                                                                                          ShortVersion of the system - if relevant
                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                          Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                                                                                          NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                          Typestring
                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                          1232. Composition.section:QRD-200000029894.section:QRD-200000029913.code.coding.code
                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                          A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                                                                                          ShortSymbol in syntax defined by the system
                                                                                                                                                                                                                                                          Control1..1
                                                                                                                                                                                                                                                          This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                          Typecode
                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                          Need to refer to a particular code in the system.

                                                                                                                                                                                                                                                          Pattern Value200000029913
                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                          1234. Composition.section:QRD-200000029894.section:QRD-200000029913.code.coding.display
                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                          A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                                                                                          ShortRepresentation defined by the system
                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                          This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                          Typestring
                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                          Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                          1236. Composition.section:QRD-200000029894.section:QRD-200000029913.code.coding.userSelected
                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                          Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                                                                                          ShortIf this coding was chosen directly by the user
                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                          Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                          Typeboolean
                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                          This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                          1238. Composition.section:QRD-200000029894.section:QRD-200000029913.code.text
                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                          A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                                                                          ShortPlain text representation of the concept
                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                          Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                          Typestring
                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                          The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                          1240. Composition.section:QRD-200000029894.section:QRD-200000029913.author
                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                          Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                                                          ShortWho and/or what authored the section
                                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                                          TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                          Identifies who is responsible for the content.

                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                          1242. Composition.section:QRD-200000029894.section:QRD-200000029913.focus
                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                          The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                                                          ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                          Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                          TypeReference(Resource)
                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                          1244. Composition.section:QRD-200000029894.section:QRD-200000029913.text
                                                                                                                                                                                                                                                          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.

                                                                                                                                                                                                                                                          ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                          Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                          This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                                                          TypeNarrative
                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                          1246. Composition.section:QRD-200000029894.section:QRD-200000029913.orderedBy
                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                          Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                                                          ShortOrder of section entries
                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                          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.

                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                          BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                                                          (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                                                                                                                                                                                                                                          What order applies to the items in the entry.

                                                                                                                                                                                                                                                          TypeCodeableConcept
                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                          Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                          1248. Composition.section:QRD-200000029894.section:QRD-200000029913.entry
                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                          A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                                          ShortA reference to data that supports this section
                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                          If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                                          This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                          TypeReference(Resource)
                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                          1250. Composition.section:QRD-200000029894.section:QRD-200000029913.emptyReason
                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                          If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                                                          ShortWhy the section is empty
                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                          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.

                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                          This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                                                          BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                                                                          (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                                                                                                                                                                                                                                          If a section is empty, why it is empty.

                                                                                                                                                                                                                                                          TypeCodeableConcept
                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                          Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                          1252. Composition.section:QRD-200000029894.section:QRD-200000029913.section
                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                          A nested sub-section within this section.

                                                                                                                                                                                                                                                          ShortNested Section
                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                          Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                                          TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                          SlicingThis element introduces a set of slices on Composition.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                          • value @ code.coding.code
                                                                                                                                                                                                                                                          • 1254. Composition.section:QRD-200000029894.section:QRD-200000029913.section:QRD-200000029913-Blanksubsections
                                                                                                                                                                                                                                                            Slice NameQRD-200000029913-Blanksubsections
                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                            A nested sub-section within this section.

                                                                                                                                                                                                                                                            ShortNested Section
                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                            Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                                                                            TypeBackboneElement
                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                            1256. Composition.section:QRD-200000029894.section:QRD-200000029913.section:QRD-200000029913-Blanksubsections.id
                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                            ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                                                            This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                            Typestring
                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                            1258. Composition.section:QRD-200000029894.section:QRD-200000029913.section:QRD-200000029913-Blanksubsections.extension
                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                            ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                            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.

                                                                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                                                                            TypeExtension
                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                            Alternate Namesextensions, user content
                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                            1260. Composition.section:QRD-200000029894.section:QRD-200000029913.section:QRD-200000029913-Blanksubsections.modifierExtension
                                                                                                                                                                                                                                                            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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                                                                                                                                                                                                                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                                            ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                            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.

                                                                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                                                                            TypeExtension
                                                                                                                                                                                                                                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                                                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                                            Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                            1262. Composition.section:QRD-200000029894.section:QRD-200000029913.section:QRD-200000029913-Blanksubsections.title
                                                                                                                                                                                                                                                            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.

                                                                                                                                                                                                                                                            ShortLabel for section (e.g. for ToC)
                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                            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.

                                                                                                                                                                                                                                                            Control1..1
                                                                                                                                                                                                                                                            Typestring
                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                                                            Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                                                            Alternate Namesheader, label, caption
                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                            1264. Composition.section:QRD-200000029894.section:QRD-200000029913.section:QRD-200000029913-Blanksubsections.code
                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                            A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                                                            ShortClassification of section (recommended)
                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                            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.

                                                                                                                                                                                                                                                            Control1..1
                                                                                                                                                                                                                                                            BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                                                            (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                                                                                                                                                                                                            Classification of a section of a composition/document.

                                                                                                                                                                                                                                                            TypeCodeableConcept
                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                                                            Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                            1266. Composition.section:QRD-200000029894.section:QRD-200000029913.section:QRD-200000029913-Blanksubsections.code.id
                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                            ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                                                            This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                            Typeid
                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                            1268. Composition.section:QRD-200000029894.section:QRD-200000029913.section:QRD-200000029913-Blanksubsections.code.extension
                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                            ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                            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.

                                                                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                                                                            TypeExtension
                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                            Alternate Namesextensions, user content
                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                            SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                            • value @ url
                                                                                                                                                                                                                                                            • 1270. Composition.section:QRD-200000029894.section:QRD-200000029913.section:QRD-200000029913-Blanksubsections.code.coding
                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                              A reference to a code defined by a terminology system.

                                                                                                                                                                                                                                                              ShortCode defined by a terminology system
                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                              Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                                              TypeCoding
                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                              Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                              1272. Composition.section:QRD-200000029894.section:QRD-200000029913.section:QRD-200000029913-Blanksubsections.code.coding.id
                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                              ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                              This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                              Typeid
                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                              1274. Composition.section:QRD-200000029894.section:QRD-200000029913.section:QRD-200000029913-Blanksubsections.code.coding.extension
                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                              ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                              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.

                                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                                              TypeExtension
                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                              Alternate Namesextensions, user content
                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                              SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                              • value @ url
                                                                                                                                                                                                                                                              • 1276. Composition.section:QRD-200000029894.section:QRD-200000029913.section:QRD-200000029913-Blanksubsections.code.coding.system
                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                                                                                                ShortIdentity of the terminology system
                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                                                                                                Control1..1
                                                                                                                                                                                                                                                                Typeuri
                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                                                                                                Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                1278. Composition.section:QRD-200000029894.section:QRD-200000029913.section:QRD-200000029913-Blanksubsections.code.coding.version
                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                                                                                                ShortVersion of the system - if relevant
                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                                                                                                NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                Typestring
                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                1280. Composition.section:QRD-200000029894.section:QRD-200000029913.section:QRD-200000029913-Blanksubsections.code.coding.code
                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                                                                                                ShortSymbol in syntax defined by the system
                                                                                                                                                                                                                                                                Control1..1
                                                                                                                                                                                                                                                                This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                                Typecode
                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                Need to refer to a particular code in the system.

                                                                                                                                                                                                                                                                Pattern Value200000044346
                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                1282. Composition.section:QRD-200000029894.section:QRD-200000029913.section:QRD-200000029913-Blanksubsections.code.coding.display
                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                                                                                                ShortRepresentation defined by the system
                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                                Typestring
                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                1284. Composition.section:QRD-200000029894.section:QRD-200000029913.section:QRD-200000029913-Blanksubsections.code.coding.userSelected
                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                                                                                                ShortIf this coding was chosen directly by the user
                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                Typeboolean
                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                1286. Composition.section:QRD-200000029894.section:QRD-200000029913.section:QRD-200000029913-Blanksubsections.code.text
                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                                                                                ShortPlain text representation of the concept
                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                Typestring
                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                1288. Composition.section:QRD-200000029894.section:QRD-200000029913.section:QRD-200000029913-Blanksubsections.author
                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                                                                ShortWho and/or what authored the section
                                                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                                                TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                Identifies who is responsible for the content.

                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                1290. Composition.section:QRD-200000029894.section:QRD-200000029913.section:QRD-200000029913-Blanksubsections.focus
                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                                                                ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                TypeReference(Resource)
                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                1292. Composition.section:QRD-200000029894.section:QRD-200000029913.section:QRD-200000029913-Blanksubsections.text
                                                                                                                                                                                                                                                                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.

                                                                                                                                                                                                                                                                ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                                                                TypeNarrative
                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                1294. Composition.section:QRD-200000029894.section:QRD-200000029913.section:QRD-200000029913-Blanksubsections.orderedBy
                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                                                                ShortOrder of section entries
                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                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.

                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                                                                (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                                                                                                                                                                                                                                                What order applies to the items in the entry.

                                                                                                                                                                                                                                                                TypeCodeableConcept
                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                1296. Composition.section:QRD-200000029894.section:QRD-200000029913.section:QRD-200000029913-Blanksubsections.entry
                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                                                ShortA reference to data that supports this section
                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                                                This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                                TypeReference(Resource)
                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                1298. Composition.section:QRD-200000029894.section:QRD-200000029913.section:QRD-200000029913-Blanksubsections.emptyReason
                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                                                                ShortWhy the section is empty
                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                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.

                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                                                                BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                                                                                (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                                                                                                                                                                                                                                                If a section is empty, why it is empty.

                                                                                                                                                                                                                                                                TypeCodeableConcept
                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                1300. Composition.section:QRD-200000029894.section:QRD-200000029913.section:QRD-200000029913-Blanksubsections.section
                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                A nested sub-section within this section.

                                                                                                                                                                                                                                                                ShortNested Section
                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                                                TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                1302. Composition.section:QRD-200000029894.section:QRD-200000029914
                                                                                                                                                                                                                                                                Slice NameQRD-200000029914
                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                A nested sub-section within this section.

                                                                                                                                                                                                                                                                ShortNested Section
                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                Control1..1
                                                                                                                                                                                                                                                                TypeBackboneElement
                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                1304. Composition.section:QRD-200000029894.section:QRD-200000029914.id
                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                Typestring
                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                1306. Composition.section:QRD-200000029894.section:QRD-200000029914.extension
                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                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.

                                                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                                                TypeExtension
                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                1308. Composition.section:QRD-200000029894.section:QRD-200000029914.modifierExtension
                                                                                                                                                                                                                                                                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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                                                                                                                                                                                                                                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                                                ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                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.

                                                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                                                TypeExtension
                                                                                                                                                                                                                                                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                                                Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                1310. Composition.section:QRD-200000029894.section:QRD-200000029914.title
                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                Section of level 2 with title 6. Contents of the pack and other information and code 200000029914

                                                                                                                                                                                                                                                                Short6. Contents of the pack and other information
                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                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.

                                                                                                                                                                                                                                                                Control1..1
                                                                                                                                                                                                                                                                Typestring
                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                                                                Alternate Namesheader, label, caption
                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                1312. Composition.section:QRD-200000029894.section:QRD-200000029914.code
                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                                                                ShortClassification of section (recommended)
                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                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.

                                                                                                                                                                                                                                                                Control1..1
                                                                                                                                                                                                                                                                BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                                                                (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                                                                                                                                                                                                                Classification of a section of a composition/document.

                                                                                                                                                                                                                                                                TypeCodeableConcept
                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                1314. Composition.section:QRD-200000029894.section:QRD-200000029914.code.id
                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                Typeid
                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                1316. Composition.section:QRD-200000029894.section:QRD-200000029914.code.extension
                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                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.

                                                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                                                TypeExtension
                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                SlicingThis element introduces a set of slices on Composition.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                • value @ url
                                                                                                                                                                                                                                                                • 1318. Composition.section:QRD-200000029894.section:QRD-200000029914.code.coding
                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                  A reference to a code defined by a terminology system.

                                                                                                                                                                                                                                                                  ShortCode defined by a terminology system
                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                  Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                                                                  TypeCoding
                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                                  Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                  1320. Composition.section:QRD-200000029894.section:QRD-200000029914.code.coding.id
                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                                  This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                  Typeid
                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                  1322. Composition.section:QRD-200000029894.section:QRD-200000029914.code.coding.extension
                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                  ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                  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.

                                                                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                                                                  TypeExtension
                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                  Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                  SlicingThis element introduces a set of slices on Composition.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                  • value @ url
                                                                                                                                                                                                                                                                  • 1324. Composition.section:QRD-200000029894.section:QRD-200000029914.code.coding.system
                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                    The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                                                                                                    ShortIdentity of the terminology system
                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                    The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                                                                                                    Control1..1
                                                                                                                                                                                                                                                                    Typeuri
                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                    Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                                                                                                    Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                    1326. Composition.section:QRD-200000029894.section:QRD-200000029914.code.coding.version
                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                    The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                                                                                                    ShortVersion of the system - if relevant
                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                    Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                                                                                                    NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                    Typestring
                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                    1328. Composition.section:QRD-200000029894.section:QRD-200000029914.code.coding.code
                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                    A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                                                                                                    ShortSymbol in syntax defined by the system
                                                                                                                                                                                                                                                                    Control1..1
                                                                                                                                                                                                                                                                    This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                                    Typecode
                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                    Need to refer to a particular code in the system.

                                                                                                                                                                                                                                                                    Pattern Value200000029914
                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                    1330. Composition.section:QRD-200000029894.section:QRD-200000029914.code.coding.display
                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                    A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                                                                                                    ShortRepresentation defined by the system
                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                    This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                                    Typestring
                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                    Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                    1332. Composition.section:QRD-200000029894.section:QRD-200000029914.code.coding.userSelected
                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                    Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                                                                                                    ShortIf this coding was chosen directly by the user
                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                    Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                    Typeboolean
                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                    This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                    1334. Composition.section:QRD-200000029894.section:QRD-200000029914.code.text
                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                    A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                                                                                    ShortPlain text representation of the concept
                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                    Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                    Typestring
                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                    The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                    1336. Composition.section:QRD-200000029894.section:QRD-200000029914.author
                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                    Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                                                                    ShortWho and/or what authored the section
                                                                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                                                                    TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                    Identifies who is responsible for the content.

                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                    1338. Composition.section:QRD-200000029894.section:QRD-200000029914.focus
                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                    The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                                                                    ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                    Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                    TypeReference(Resource)
                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                    1340. Composition.section:QRD-200000029894.section:QRD-200000029914.text
                                                                                                                                                                                                                                                                    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.

                                                                                                                                                                                                                                                                    ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                    Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                    This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                                                                    TypeNarrative
                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                    1342. Composition.section:QRD-200000029894.section:QRD-200000029914.orderedBy
                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                    Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                                                                    ShortOrder of section entries
                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                    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.

                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                    BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                                                                    (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                                                                                                                                                                                                                                                    What order applies to the items in the entry.

                                                                                                                                                                                                                                                                    TypeCodeableConcept
                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                    Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                    1344. Composition.section:QRD-200000029894.section:QRD-200000029914.entry
                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                    A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                                                    ShortA reference to data that supports this section
                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                    If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                                                                    This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                                    TypeReference(Resource)
                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                    1346. Composition.section:QRD-200000029894.section:QRD-200000029914.emptyReason
                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                    If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                                                                    ShortWhy the section is empty
                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                    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.

                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                    This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                                                                    BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                                                                                    (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                                                                                                                                                                                                                                                    If a section is empty, why it is empty.

                                                                                                                                                                                                                                                                    TypeCodeableConcept
                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                    Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                    1348. Composition.section:QRD-200000029894.section:QRD-200000029914.section
                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                    A nested sub-section within this section.

                                                                                                                                                                                                                                                                    ShortNested Section
                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                    Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                    Control4..*
                                                                                                                                                                                                                                                                    TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                    SlicingThis element introduces a set of slices on Composition.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                    • value @ code.coding.code
                                                                                                                                                                                                                                                                    • 1350. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029914-Blanksubsections
                                                                                                                                                                                                                                                                      Slice NameQRD-200000029914-Blanksubsections
                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                      A nested sub-section within this section.

                                                                                                                                                                                                                                                                      ShortNested Section
                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                      Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                                                      TypeBackboneElement
                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                      1352. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029914-Blanksubsections.id
                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                      ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                                      This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                      Typestring
                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                      1354. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029914-Blanksubsections.extension
                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                      ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                      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.

                                                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                                                      TypeExtension
                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                      Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                      1356. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029914-Blanksubsections.modifierExtension
                                                                                                                                                                                                                                                                      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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                                                                                                                                                                                                                                                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                                                      ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                      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.

                                                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                                                      TypeExtension
                                                                                                                                                                                                                                                                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                                                      Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                      1358. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029914-Blanksubsections.title
                                                                                                                                                                                                                                                                      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.

                                                                                                                                                                                                                                                                      ShortLabel for section (e.g. for ToC)
                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                      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.

                                                                                                                                                                                                                                                                      Control1..1
                                                                                                                                                                                                                                                                      Typestring
                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                                      Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                                                                      Alternate Namesheader, label, caption
                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                      1360. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029914-Blanksubsections.code
                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                      A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                                                                      ShortClassification of section (recommended)
                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                      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.

                                                                                                                                                                                                                                                                      Control1..1
                                                                                                                                                                                                                                                                      BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                                                                      (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                                                                                                                                                                                                                      Classification of a section of a composition/document.

                                                                                                                                                                                                                                                                      TypeCodeableConcept
                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                                      Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                      1362. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029914-Blanksubsections.code.id
                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                      ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                                      This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                      Typeid
                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                      1364. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029914-Blanksubsections.code.extension
                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                      ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                      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.

                                                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                                                      TypeExtension
                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                      Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                      SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                      • value @ url
                                                                                                                                                                                                                                                                      • 1366. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029914-Blanksubsections.code.coding
                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                        A reference to a code defined by a terminology system.

                                                                                                                                                                                                                                                                        ShortCode defined by a terminology system
                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                        Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                                                                        TypeCoding
                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                                                                        Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                        1368. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029914-Blanksubsections.code.coding.id
                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                        ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                                                        This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                        Typeid
                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                        1370. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029914-Blanksubsections.code.coding.extension
                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                        ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                        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.

                                                                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                                                                        TypeExtension
                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                        Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                        SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                        • value @ url
                                                                                                                                                                                                                                                                        • 1372. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029914-Blanksubsections.code.coding.system
                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                          The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                                                                                                          ShortIdentity of the terminology system
                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                          The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                                                                                                          Control1..1
                                                                                                                                                                                                                                                                          Typeuri
                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                                          Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                                                                                                          Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                          1374. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029914-Blanksubsections.code.coding.version
                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                          The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                                                                                                          ShortVersion of the system - if relevant
                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                          Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                                                                                                          NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                                          Typestring
                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                          1376. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029914-Blanksubsections.code.coding.code
                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                          A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                                                                                                          ShortSymbol in syntax defined by the system
                                                                                                                                                                                                                                                                          Control1..1
                                                                                                                                                                                                                                                                          This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                                          Typecode
                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                                          Need to refer to a particular code in the system.

                                                                                                                                                                                                                                                                          Pattern Value200000044346
                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                          1378. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029914-Blanksubsections.code.coding.display
                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                          A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                                                                                                          ShortRepresentation defined by the system
                                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                                          This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                                          Typestring
                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                                          Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                          1380. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029914-Blanksubsections.code.coding.userSelected
                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                          Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                                                                                                          ShortIf this coding was chosen directly by the user
                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                          Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                                          Typeboolean
                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                                          This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                          1382. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029914-Blanksubsections.code.text
                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                          A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                                                                                          ShortPlain text representation of the concept
                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                          Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                                          Typestring
                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                                          The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                          1384. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029914-Blanksubsections.author
                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                          Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                                                                          ShortWho and/or what authored the section
                                                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                                                          TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                                          Identifies who is responsible for the content.

                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                          1386. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029914-Blanksubsections.focus
                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                          The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                                                                          ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                          Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                                          TypeReference(Resource)
                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                          1388. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029914-Blanksubsections.text
                                                                                                                                                                                                                                                                          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.

                                                                                                                                                                                                                                                                          ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                          Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                                          This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                                                                          TypeNarrative
                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                          1390. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029914-Blanksubsections.orderedBy
                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                          Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                                                                          ShortOrder of section entries
                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                          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.

                                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                                          BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                                                                          (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                                                                                                                                                                                                                                                          What order applies to the items in the entry.

                                                                                                                                                                                                                                                                          TypeCodeableConcept
                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                                          Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                          1392. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029914-Blanksubsections.entry
                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                          A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                                                          ShortA reference to data that supports this section
                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                          If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                                                          This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                                          TypeReference(Resource)
                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                          1394. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029914-Blanksubsections.emptyReason
                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                          If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                                                                          ShortWhy the section is empty
                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                          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.

                                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                                          This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                                                                          BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                                                                                          (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                                                                                                                                                                                                                                                          If a section is empty, why it is empty.

                                                                                                                                                                                                                                                                          TypeCodeableConcept
                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                                          Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                          1396. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029914-Blanksubsections.section
                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                          A nested sub-section within this section.

                                                                                                                                                                                                                                                                          ShortNested Section
                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                          Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                                                          TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                          1398. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029915
                                                                                                                                                                                                                                                                          Slice NameQRD-200000029915
                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                          A nested sub-section within this section.

                                                                                                                                                                                                                                                                          ShortNested Section
                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                          Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                          Control1..1
                                                                                                                                                                                                                                                                          TypeBackboneElement
                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                          1400. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029915.id
                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                          ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                                          This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                          Typestring
                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                          1402. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029915.extension
                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                          ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                          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.

                                                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                                                          TypeExtension
                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                          Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                          1404. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029915.modifierExtension
                                                                                                                                                                                                                                                                          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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                                                                                                                                                                                                                                                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                                                          ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                          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.

                                                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                                                          TypeExtension
                                                                                                                                                                                                                                                                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                                                          Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                          1406. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029915.title
                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                          Section of level 3 with title What X contains and code 200000029915

                                                                                                                                                                                                                                                                          ShortWhat X contains
                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                          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.

                                                                                                                                                                                                                                                                          Control1..1
                                                                                                                                                                                                                                                                          Typestring
                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                                          Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                                                                          Alternate Namesheader, label, caption
                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                          1408. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029915.code
                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                          A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                                                                          ShortClassification of section (recommended)
                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                          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.

                                                                                                                                                                                                                                                                          Control1..1
                                                                                                                                                                                                                                                                          BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                                                                          (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                                                                                                                                                                                                                          Classification of a section of a composition/document.

                                                                                                                                                                                                                                                                          TypeCodeableConcept
                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                                          Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                          1410. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029915.code.id
                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                          ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                                          This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                          Typeid
                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                          1412. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029915.code.extension
                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                          ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                          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.

                                                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                                                          TypeExtension
                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                          Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                          SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                          • value @ url
                                                                                                                                                                                                                                                                          • 1414. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029915.code.coding
                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                            A reference to a code defined by a terminology system.

                                                                                                                                                                                                                                                                            ShortCode defined by a terminology system
                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                            Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                                                                                            TypeCoding
                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                                                                            Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                            1416. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029915.code.coding.id
                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                            ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                                                                            This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                            Typeid
                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                                            1418. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029915.code.coding.extension
                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                            ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                            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.

                                                                                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                                                                                            TypeExtension
                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                                            Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                            SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                            • value @ url
                                                                                                                                                                                                                                                                            • 1420. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029915.code.coding.system
                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                              The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                                                                                                              ShortIdentity of the terminology system
                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                              The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                                                                                                              Control1..1
                                                                                                                                                                                                                                                                              Typeuri
                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                              Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                                                                                                              Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                              1422. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029915.code.coding.version
                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                              The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                                                                                                              ShortVersion of the system - if relevant
                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                              Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                                                                                                              NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                              Typestring
                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                              1424. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029915.code.coding.code
                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                              A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                                                                                                              ShortSymbol in syntax defined by the system
                                                                                                                                                                                                                                                                              Control1..1
                                                                                                                                                                                                                                                                              This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                                              Typecode
                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                              Need to refer to a particular code in the system.

                                                                                                                                                                                                                                                                              Pattern Value200000029915
                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                              1426. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029915.code.coding.display
                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                              A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                                                                                                              ShortRepresentation defined by the system
                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                              This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                                              Typestring
                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                              Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                              1428. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029915.code.coding.userSelected
                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                              Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                                                                                                              ShortIf this coding was chosen directly by the user
                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                              Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                              Typeboolean
                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                              This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                              1430. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029915.code.text
                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                              A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                                                                                              ShortPlain text representation of the concept
                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                              Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                              Typestring
                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                              The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                              1432. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029915.author
                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                              Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                                                                              ShortWho and/or what authored the section
                                                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                                                              TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                              Identifies who is responsible for the content.

                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                              1434. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029915.focus
                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                              The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                                                                              ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                              Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                              TypeReference(Resource)
                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                              1436. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029915.text
                                                                                                                                                                                                                                                                              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.

                                                                                                                                                                                                                                                                              ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                              Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                              This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                                                                              TypeNarrative
                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                              1438. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029915.orderedBy
                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                              Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                                                                              ShortOrder of section entries
                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                              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.

                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                              BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                                                                              (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                                                                                                                                                                                                                                                              What order applies to the items in the entry.

                                                                                                                                                                                                                                                                              TypeCodeableConcept
                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                              Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                              1440. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029915.entry
                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                              A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                                                              ShortA reference to data that supports this section
                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                                                              This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                                              TypeReference(Resource)
                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                              1442. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029915.emptyReason
                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                              If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                                                                              ShortWhy the section is empty
                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                              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.

                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                              This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                                                                              BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                                                                                              (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                                                                                                                                                                                                                                                              If a section is empty, why it is empty.

                                                                                                                                                                                                                                                                              TypeCodeableConcept
                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                              Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                              1444. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029915.section
                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                              A nested sub-section within this section.

                                                                                                                                                                                                                                                                              ShortNested Section
                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                              Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                                                              TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                              SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                              • value @ code.coding.code
                                                                                                                                                                                                                                                                              • 1446. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029916
                                                                                                                                                                                                                                                                                Slice NameQRD-200000029916
                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                A nested sub-section within this section.

                                                                                                                                                                                                                                                                                ShortNested Section
                                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                                Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                                Control1..1
                                                                                                                                                                                                                                                                                TypeBackboneElement
                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                1448. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029916.id
                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                                This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                Typestring
                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                                1450. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029916.extension
                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                                ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                                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.

                                                                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                                                                TypeExtension
                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                                Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                1452. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029916.modifierExtension
                                                                                                                                                                                                                                                                                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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                                                                                                                                                                                                                                                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                                                                ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                                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.

                                                                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                                                                TypeExtension
                                                                                                                                                                                                                                                                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                                                                Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                1454. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029916.title
                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                Section of level 3 with title What X looks like and contents of the pack and code 200000029916

                                                                                                                                                                                                                                                                                ShortWhat X looks like and contents of the pack
                                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                                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.

                                                                                                                                                                                                                                                                                Control1..1
                                                                                                                                                                                                                                                                                Typestring
                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                                Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                                                                                Alternate Namesheader, label, caption
                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                1456. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029916.code
                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                                                                                ShortClassification of section (recommended)
                                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                                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.

                                                                                                                                                                                                                                                                                Control1..1
                                                                                                                                                                                                                                                                                BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                                                                                (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                                                                                                                                                                                                                                Classification of a section of a composition/document.

                                                                                                                                                                                                                                                                                TypeCodeableConcept
                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                                Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                1458. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029916.code.id
                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                                This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                Typeid
                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                                1460. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029916.code.extension
                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                                ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                                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.

                                                                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                                                                TypeExtension
                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                                Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                • value @ url
                                                                                                                                                                                                                                                                                • 1462. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029916.code.coding
                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                  A reference to a code defined by a terminology system.

                                                                                                                                                                                                                                                                                  ShortCode defined by a terminology system
                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                  Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                                                                                  TypeCoding
                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                                                  Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                  1464. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029916.code.coding.id
                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                                                  This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                  Typeid
                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                                  1466. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029916.code.coding.extension
                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                                  ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                  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.

                                                                                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                                                                                  TypeExtension
                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                                  Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                  SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                  • value @ url
                                                                                                                                                                                                                                                                                  • 1468. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029916.code.coding.system
                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                    The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                                                                                                                    ShortIdentity of the terminology system
                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                    The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                                                                                                                    Control1..1
                                                                                                                                                                                                                                                                                    Typeuri
                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                                    Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                                                                                                                    Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                    1470. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029916.code.coding.version
                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                    The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                                                                                                                    ShortVersion of the system - if relevant
                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                    Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                                                                                                                    NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                                    Typestring
                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                    1472. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029916.code.coding.code
                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                    A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                                                                                                                    ShortSymbol in syntax defined by the system
                                                                                                                                                                                                                                                                                    Control1..1
                                                                                                                                                                                                                                                                                    This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                                                    Typecode
                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                                    Need to refer to a particular code in the system.

                                                                                                                                                                                                                                                                                    Pattern Value200000029916
                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                    1474. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029916.code.coding.display
                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                    A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                                                                                                                    ShortRepresentation defined by the system
                                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                                    This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                                                    Typestring
                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                                    Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                    1476. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029916.code.coding.userSelected
                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                    Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                                                                                                                    ShortIf this coding was chosen directly by the user
                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                    Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                                    Typeboolean
                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                                    This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                    1478. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029916.code.text
                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                    A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                                                                                                    ShortPlain text representation of the concept
                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                    Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                                    Typestring
                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                                    The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                    1480. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029916.author
                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                    Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                                                                                    ShortWho and/or what authored the section
                                                                                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                                                                                    TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                                    Identifies who is responsible for the content.

                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                    1482. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029916.focus
                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                    The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                                                                                    ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                    Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                                    TypeReference(Resource)
                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                    1484. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029916.text
                                                                                                                                                                                                                                                                                    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.

                                                                                                                                                                                                                                                                                    ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                    Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                                    This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                                                                                    TypeNarrative
                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                    1486. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029916.orderedBy
                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                    Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                                                                                    ShortOrder of section entries
                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                    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.

                                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                                    BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                                                                                    (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                                                                                                                                                                                                                                                                    What order applies to the items in the entry.

                                                                                                                                                                                                                                                                                    TypeCodeableConcept
                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                                    Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                    1488. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029916.entry
                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                    A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                                                                    ShortA reference to data that supports this section
                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                    If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                                                                                    This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                                                    TypeReference(Resource)
                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                    1490. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029916.emptyReason
                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                    If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                                                                                    ShortWhy the section is empty
                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                    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.

                                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                                    This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                                                                                    BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                                                                                                    (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                                                                                                                                                                                                                                                                    If a section is empty, why it is empty.

                                                                                                                                                                                                                                                                                    TypeCodeableConcept
                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                                    Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                    1492. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029916.section
                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                    A nested sub-section within this section.

                                                                                                                                                                                                                                                                                    ShortNested Section
                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                    Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                                                                                    TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                    SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                    • value @ code.coding.code
                                                                                                                                                                                                                                                                                    • 1494. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029917
                                                                                                                                                                                                                                                                                      Slice NameQRD-200000029917
                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                      A nested sub-section within this section.

                                                                                                                                                                                                                                                                                      ShortNested Section
                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                      Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                                      Control1..1
                                                                                                                                                                                                                                                                                      TypeBackboneElement
                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                      1496. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029917.id
                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                      ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                                                      This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                      Typestring
                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                                      1498. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029917.extension
                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                                      ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                      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.

                                                                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                                                                      TypeExtension
                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                                      Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                      1500. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029917.modifierExtension
                                                                                                                                                                                                                                                                                      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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                                                                                                                                                                                                                                                                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                                                                      ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                      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.

                                                                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                                                                      TypeExtension
                                                                                                                                                                                                                                                                                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                                                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                                                                      Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                      1502. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029917.title
                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                      Section of level 3 with title Marketing Authorisation Holder and Manufacturer and code 200000029917

                                                                                                                                                                                                                                                                                      ShortMarketing Authorisation Holder and Manufacturer
                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                      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.

                                                                                                                                                                                                                                                                                      Control1..1
                                                                                                                                                                                                                                                                                      Typestring
                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                                                      Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                                                                                      Alternate Namesheader, label, caption
                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                      1504. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029917.code
                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                      A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                                                                                      ShortClassification of section (recommended)
                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                      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.

                                                                                                                                                                                                                                                                                      Control1..1
                                                                                                                                                                                                                                                                                      BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                                                                                      (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                                                                                                                                                                                                                                      Classification of a section of a composition/document.

                                                                                                                                                                                                                                                                                      TypeCodeableConcept
                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                                                      Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                      1506. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029917.code.id
                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                      ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                                                      This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                      Typeid
                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                                      1508. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029917.code.extension
                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                                      ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                      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.

                                                                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                                                                      TypeExtension
                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                                      Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                      SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                      • value @ url
                                                                                                                                                                                                                                                                                      • 1510. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029917.code.coding
                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                        A reference to a code defined by a terminology system.

                                                                                                                                                                                                                                                                                        ShortCode defined by a terminology system
                                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                                        Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                                                                                        TypeCoding
                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                                                                                        Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                        1512. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029917.code.coding.id
                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                        ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                                                                        This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                        Typeid
                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                                        1514. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029917.code.coding.extension
                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                                        ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                                        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.

                                                                                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                                                                                        TypeExtension
                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                                        Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                        SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                        • value @ url
                                                                                                                                                                                                                                                                                        • 1516. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029917.code.coding.system
                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                          The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                                                                                                                          ShortIdentity of the terminology system
                                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                                          The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                                                                                                                          Control1..1
                                                                                                                                                                                                                                                                                          Typeuri
                                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                                                          Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                                                                                                                          Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                          1518. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029917.code.coding.version
                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                          The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                                                                                                                          ShortVersion of the system - if relevant
                                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                                          Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                                                                                                                          NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                                                          Typestring
                                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                          1520. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029917.code.coding.code
                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                          A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                                                                                                                          ShortSymbol in syntax defined by the system
                                                                                                                                                                                                                                                                                          Control1..1
                                                                                                                                                                                                                                                                                          This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                                                          Typecode
                                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                                                          Need to refer to a particular code in the system.

                                                                                                                                                                                                                                                                                          Pattern Value200000029917
                                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                          1522. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029917.code.coding.display
                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                          A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                                                                                                                          ShortRepresentation defined by the system
                                                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                                                          This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                                                          Typestring
                                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                                                          Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                          1524. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029917.code.coding.userSelected
                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                          Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                                                                                                                          ShortIf this coding was chosen directly by the user
                                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                                          Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                                                          Typeboolean
                                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                                                          This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                          1526. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029917.code.text
                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                          A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                                                                                                          ShortPlain text representation of the concept
                                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                                          Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                                                          Typestring
                                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                                                          The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                          1528. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029917.author
                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                          Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                                                                                          ShortWho and/or what authored the section
                                                                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                                                                          TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                                                          Identifies who is responsible for the content.

                                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                          1530. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029917.focus
                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                          The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                                                                                          ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                                          Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                                                          TypeReference(Resource)
                                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                          1532. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029917.text
                                                                                                                                                                                                                                                                                          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.

                                                                                                                                                                                                                                                                                          ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                                          Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                                                          This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                                                                                          TypeNarrative
                                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                          1534. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029917.orderedBy
                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                          Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                                                                                          ShortOrder of section entries
                                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                                          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.

                                                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                                                          BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                                                                                          (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                                                                                                                                                                                                                                                                          What order applies to the items in the entry.

                                                                                                                                                                                                                                                                                          TypeCodeableConcept
                                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                                                          Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                          1536. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029917.entry
                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                          A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                                                                          ShortA reference to data that supports this section
                                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                                          If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                                                                          This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                                                          TypeReference(Resource)
                                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                          1538. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029917.emptyReason
                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                          If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                                                                                          ShortWhy the section is empty
                                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                                          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.

                                                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                                                          This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                                                                                          BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                                                                                                          (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                                                                                                                                                                                                                                                                          If a section is empty, why it is empty.

                                                                                                                                                                                                                                                                                          TypeCodeableConcept
                                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                                                          Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                          1540. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029917.section
                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                          A nested sub-section within this section.

                                                                                                                                                                                                                                                                                          ShortNested Section
                                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                                          Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                                                                          TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                          SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                          • value @ code.coding.code
                                                                                                                                                                                                                                                                                          • 1542. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029919
                                                                                                                                                                                                                                                                                            Slice NameQRD-200000029919
                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                            A nested sub-section within this section.

                                                                                                                                                                                                                                                                                            ShortNested Section
                                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                                            Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                                            Control1..1
                                                                                                                                                                                                                                                                                            TypeBackboneElement
                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                            1544. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029919.id
                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                            ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                                                                                            This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                            Typestring
                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                                                            1546. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029919.extension
                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                                            ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                                            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.

                                                                                                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                                                                                                            TypeExtension
                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                                                            Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                            1548. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029919.modifierExtension
                                                                                                                                                                                                                                                                                            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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                                                                                                                                                                                                                                                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                                                                            ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                                            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.

                                                                                                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                                                                                                            TypeExtension
                                                                                                                                                                                                                                                                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                                                                                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                                                                            Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                            1550. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029919.title
                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                            Section of level 3 with title This leaflet was last revised in {MM/YYYY}{month YYYY}. and code 200000029919

                                                                                                                                                                                                                                                                                            ShortThis leaflet was last revised in {MM/YYYY}{month YYYY}.
                                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                                            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.

                                                                                                                                                                                                                                                                                            Control1..1
                                                                                                                                                                                                                                                                                            Typestring
                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                                                                                            Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                                                                                            Alternate Namesheader, label, caption
                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                            1552. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029919.code
                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                            A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                                                                                            ShortClassification of section (recommended)
                                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                                            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.

                                                                                                                                                                                                                                                                                            Control1..1
                                                                                                                                                                                                                                                                                            BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                                                                                            (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                                                                                                                                                                                                                                            Classification of a section of a composition/document.

                                                                                                                                                                                                                                                                                            TypeCodeableConcept
                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                                                                                            Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                            1554. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029919.code.id
                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                            ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                                                                                            This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                            Typeid
                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                                                            1556. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029919.code.extension
                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                                            ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                                            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.

                                                                                                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                                                                                                            TypeExtension
                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                                                            Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                            SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                            • value @ url
                                                                                                                                                                                                                                                                                            • 1558. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029919.code.coding
                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                              A reference to a code defined by a terminology system.

                                                                                                                                                                                                                                                                                              ShortCode defined by a terminology system
                                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                                              Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                                                                              TypeCoding
                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                                              Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                              1560. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029919.code.coding.id
                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                              ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                                              This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                              Typeid
                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                              1562. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029919.code.coding.extension
                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                                              ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                                              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.

                                                                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                                                                              TypeExtension
                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                              Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                              SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                              • value @ url
                                                                                                                                                                                                                                                                                              • 1564. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029919.code.coding.system
                                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                                The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                                                                                                                                ShortIdentity of the terminology system
                                                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                                                The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                                                                                                                                Control1..1
                                                                                                                                                                                                                                                                                                Typeuri
                                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                                                Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                                                                                                                                Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                1566. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029919.code.coding.version
                                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                                The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                                                                                                                                ShortVersion of the system - if relevant
                                                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                                                Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                                                                                                                                NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                                                Typestring
                                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                1568. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029919.code.coding.code
                                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                                A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                                                                                                                                ShortSymbol in syntax defined by the system
                                                                                                                                                                                                                                                                                                Control1..1
                                                                                                                                                                                                                                                                                                This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                                                                Typecode
                                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                                                Need to refer to a particular code in the system.

                                                                                                                                                                                                                                                                                                Pattern Value200000029919
                                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                1570. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029919.code.coding.display
                                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                                A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                                                                                                                                ShortRepresentation defined by the system
                                                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                                                This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                                                                Typestring
                                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                                                Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                1572. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029919.code.coding.userSelected
                                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                                Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                                                                                                                                ShortIf this coding was chosen directly by the user
                                                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                                                Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                                                Typeboolean
                                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                                                This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                1574. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029919.code.text
                                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                                A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                                                                                                                ShortPlain text representation of the concept
                                                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                                                Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                                                Typestring
                                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                                                The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                1576. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029919.author
                                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                                Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                                                                                                ShortWho and/or what authored the section
                                                                                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                                                                                TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                                                Identifies who is responsible for the content.

                                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                1578. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029919.focus
                                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                                The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                                                                                                ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                                                Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                                                TypeReference(Resource)
                                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                1580. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029919.text
                                                                                                                                                                                                                                                                                                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.

                                                                                                                                                                                                                                                                                                ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                                                Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                                                This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                                                                                                TypeNarrative
                                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                1582. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029919.orderedBy
                                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                                Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                                                                                                ShortOrder of section entries
                                                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                                                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.

                                                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                                                BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                                                                                                (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                                                                                                                                                                                                                                                                                What order applies to the items in the entry.

                                                                                                                                                                                                                                                                                                TypeCodeableConcept
                                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                                                Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                1584. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029919.entry
                                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                                A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                                                                                ShortA reference to data that supports this section
                                                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                                                If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                                                                                This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                                                                TypeReference(Resource)
                                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                1586. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029919.emptyReason
                                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                                If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                                                                                                ShortWhy the section is empty
                                                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                                                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.

                                                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                                                This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                                                                                                BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                                                                                                                (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                                                                                                                                                                                                                                                                                If a section is empty, why it is empty.

                                                                                                                                                                                                                                                                                                TypeCodeableConcept
                                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                                                Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                1588. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029919.section
                                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                                A nested sub-section within this section.

                                                                                                                                                                                                                                                                                                ShortNested Section
                                                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                                                Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                                                                                TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                                • value @ code.coding.code
                                                                                                                                                                                                                                                                                                • 1590. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029920
                                                                                                                                                                                                                                                                                                  Slice NameQRD-200000029920
                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                  A nested sub-section within this section.

                                                                                                                                                                                                                                                                                                  ShortNested Section
                                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                                  Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                                                                  TypeBackboneElement
                                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                  1592. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029920.id
                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                                                                  This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                                  Typestring
                                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                                                  1594. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029920.extension
                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                                                  ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                                  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.

                                                                                                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                                                                                                  TypeExtension
                                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                                                  Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                  1596. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029920.modifierExtension
                                                                                                                                                                                                                                                                                                  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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                                                                                                                                                                                                                                                                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                                                                                  ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                                  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.

                                                                                                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                                                                                                  TypeExtension
                                                                                                                                                                                                                                                                                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                                                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                                                                                  Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                  1598. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029920.title
                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                  Section of level 3 with title Other sources of information and code 200000029920

                                                                                                                                                                                                                                                                                                  ShortOther sources of information
                                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                                  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.

                                                                                                                                                                                                                                                                                                  Control1..1
                                                                                                                                                                                                                                                                                                  Typestring
                                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                                                                  Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                                                                                                  Alternate Namesheader, label, caption
                                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                  1600. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029920.code
                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                  A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                                                                                                  ShortClassification of section (recommended)
                                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                                  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.

                                                                                                                                                                                                                                                                                                  Control1..1
                                                                                                                                                                                                                                                                                                  BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                                                                                                  (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                                                                                                                                                                                                                                                  Classification of a section of a composition/document.

                                                                                                                                                                                                                                                                                                  TypeCodeableConcept
                                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                                                                  Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                  1602. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029920.code.id
                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                                                                  This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                                  Typeid
                                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                                                  1604. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029920.code.extension
                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                                                  ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                                  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.

                                                                                                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                                                                                                  TypeExtension
                                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                                                  Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                  SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                                  • value @ url
                                                                                                                                                                                                                                                                                                  • 1606. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029920.code.coding
                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                    A reference to a code defined by a terminology system.

                                                                                                                                                                                                                                                                                                    ShortCode defined by a terminology system
                                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                                    Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                                                                                                    TypeCoding
                                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                                                    Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                    1608. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029920.code.coding.id
                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                                    ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                                    Typeid
                                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                                    1610. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029920.code.coding.extension
                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                                                    ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                                    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.

                                                                                                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                                                                                                    TypeExtension
                                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                                    Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                    SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                                    • value @ url
                                                                                                                                                                                                                                                                                                    • 1612. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029920.code.coding.system
                                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                                      The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                                                                                                                                      ShortIdentity of the terminology system
                                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                                      The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                                                                                                                                      Control1..1
                                                                                                                                                                                                                                                                                                      Typeuri
                                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                                                                      Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                                                                                                                                      Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                      1614. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029920.code.coding.version
                                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                                      The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                                                                                                                                      ShortVersion of the system - if relevant
                                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                                      Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                                                                                                                                      NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                                                                      Typestring
                                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                      1616. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029920.code.coding.code
                                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                                      A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                                                                                                                                      ShortSymbol in syntax defined by the system
                                                                                                                                                                                                                                                                                                      Control1..1
                                                                                                                                                                                                                                                                                                      This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                                                                      Typecode
                                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                                                                      Need to refer to a particular code in the system.

                                                                                                                                                                                                                                                                                                      Pattern Value200000029920
                                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                      1618. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029920.code.coding.display
                                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                                      A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                                                                                                                                      ShortRepresentation defined by the system
                                                                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                                                                      This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                                                                      Typestring
                                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                                                                      Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                      1620. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029920.code.coding.userSelected
                                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                                      Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                                                                                                                                      ShortIf this coding was chosen directly by the user
                                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                                      Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                                                                      Typeboolean
                                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                                                                      This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                      1622. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029920.code.text
                                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                                      A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                                                                                                                      ShortPlain text representation of the concept
                                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                                      Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                                                                      Typestring
                                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                                                                      The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                      1624. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029920.author
                                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                                      Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                                                                                                      ShortWho and/or what authored the section
                                                                                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                                                                                      TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                                                                      Identifies who is responsible for the content.

                                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                      1626. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029920.focus
                                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                                      The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                                                                                                      ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                                      Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                                                                      TypeReference(Resource)
                                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                      1628. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029920.text
                                                                                                                                                                                                                                                                                                      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.

                                                                                                                                                                                                                                                                                                      ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                                      Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                                                                      This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                                                                                                      TypeNarrative
                                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                      1630. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029920.orderedBy
                                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                                      Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                                                                                                      ShortOrder of section entries
                                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                                      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.

                                                                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                                                                      BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                                                                                                      (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                                                                                                                                                                                                                                                                                      What order applies to the items in the entry.

                                                                                                                                                                                                                                                                                                      TypeCodeableConcept
                                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                                                                      Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                      1632. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029920.entry
                                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                                      A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                                                                                      ShortA reference to data that supports this section
                                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                                      If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                                                                                      This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                                                                      TypeReference(Resource)
                                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                      1634. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029920.emptyReason
                                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                                      If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                                                                                                      ShortWhy the section is empty
                                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                                      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.

                                                                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                                                                      This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                                                                                                      BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                                                                                                                      (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                                                                                                                                                                                                                                                                                      If a section is empty, why it is empty.

                                                                                                                                                                                                                                                                                                      TypeCodeableConcept
                                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                                                                      Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                      1636. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029920.section
                                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                                      A nested sub-section within this section.

                                                                                                                                                                                                                                                                                                      ShortNested Section
                                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                                      Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                                                                                      TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                      SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                                      • value @ code.coding.code
                                                                                                                                                                                                                                                                                                      • 1638. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029921
                                                                                                                                                                                                                                                                                                        Slice NameQRD-200000029921
                                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                                        A nested sub-section within this section.

                                                                                                                                                                                                                                                                                                        ShortNested Section
                                                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                                                        Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                                                                                        TypeBackboneElement
                                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                        1640. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029921.id
                                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                                        ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                                                                                        This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                                        Typestring
                                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                                                        1642. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029921.extension
                                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                                                        ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                                                        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.

                                                                                                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                                                                                                        TypeExtension
                                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                                                        Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                        1644. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029921.modifierExtension
                                                                                                                                                                                                                                                                                                        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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.

                                                                                                                                                                                                                                                                                                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                                                                                        ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                                                        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.

                                                                                                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                                                                                                        TypeExtension
                                                                                                                                                                                                                                                                                                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                                                                                                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                                                                                        Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                        1646. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029921.title
                                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                                        Section of level 3 with title The following information is intended for healthcare professionals only: and code 200000029921

                                                                                                                                                                                                                                                                                                        ShortThe following information is intended for healthcare professionals only:
                                                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                                                        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.

                                                                                                                                                                                                                                                                                                        Control1..1
                                                                                                                                                                                                                                                                                                        Typestring
                                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                                                                                                        Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                                                                                                        Alternate Namesheader, label, caption
                                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                        1648. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029921.code
                                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                                        A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                                                                                                        ShortClassification of section (recommended)
                                                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                                                        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.

                                                                                                                                                                                                                                                                                                        Control1..1
                                                                                                                                                                                                                                                                                                        BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                                                                                                        (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                                                                                                                                                                                                                                                        Classification of a section of a composition/document.

                                                                                                                                                                                                                                                                                                        TypeCodeableConcept
                                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                                                                                                        Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                        1650. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029921.code.id
                                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                                        ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                                                                                        This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                                        Typeid
                                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                                                        1652. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029921.code.extension
                                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                                                        ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                                                        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.

                                                                                                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                                                                                                        TypeExtension
                                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                                                        Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                        SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                                        • value @ url
                                                                                                                                                                                                                                                                                                        • 1654. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029921.code.coding
                                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                                          A reference to a code defined by a terminology system.

                                                                                                                                                                                                                                                                                                          ShortCode defined by a terminology system
                                                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                                                          Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                                                                                          TypeCoding
                                                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                                                                          Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                          1656. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029921.code.coding.id
                                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                                          ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                                                                          This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                                          Typeid
                                                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                                                          1658. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029921.code.coding.extension
                                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                                                          ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                                                          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.

                                                                                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                                                                                          TypeExtension
                                                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                                                          Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                          SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                                          • value @ url
                                                                                                                                                                                                                                                                                                          • 1660. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029921.code.coding.system
                                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                                            The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                                                                                                                                            ShortIdentity of the terminology system
                                                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                                                            The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                                                                                                                                            Control1..1
                                                                                                                                                                                                                                                                                                            Typeuri
                                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                                                                                                            Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                                                                                                                                            Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                            1662. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029921.code.coding.version
                                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                                            The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                                                                                                                                            ShortVersion of the system - if relevant
                                                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                                                            Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                                                                                                                                            NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                                                                                                            Typestring
                                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                            1664. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029921.code.coding.code
                                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                                            A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                                                                                                                                            ShortSymbol in syntax defined by the system
                                                                                                                                                                                                                                                                                                            Control1..1
                                                                                                                                                                                                                                                                                                            This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                                                                            Typecode
                                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                                                                                                            Need to refer to a particular code in the system.

                                                                                                                                                                                                                                                                                                            Pattern Value200000029921
                                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                            1666. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029921.code.coding.display
                                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                                            A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                                                                                                                                            ShortRepresentation defined by the system
                                                                                                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                                                                                                            This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                                                                            Typestring
                                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                                                                                                            Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                            1668. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029921.code.coding.userSelected
                                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                                            Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                                                                                                                                            ShortIf this coding was chosen directly by the user
                                                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                                                            Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                                                                                                            Typeboolean
                                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                                                                                                            This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                            1670. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029921.code.text
                                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                                            A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                                                                                                                            ShortPlain text representation of the concept
                                                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                                                            Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                                                                                                            Typestring
                                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                                                                                                            The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                            1672. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029921.author
                                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                                            Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                                                                                                            ShortWho and/or what authored the section
                                                                                                                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                                                                                                                            TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                                                                                                            Identifies who is responsible for the content.

                                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                            1674. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029921.focus
                                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                                            The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                                                                                                            ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                                                            Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                                                                                                            TypeReference(Resource)
                                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                            1676. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029921.text
                                                                                                                                                                                                                                                                                                            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.

                                                                                                                                                                                                                                                                                                            ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                                                            Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                                                                                                            This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                                                                                                            TypeNarrative
                                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                            1678. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029921.orderedBy
                                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                                            Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                                                                                                            ShortOrder of section entries
                                                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                                                            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.

                                                                                                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                                                                                                            BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                                                                                                            (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                                                                                                                                                                                                                                                                                            What order applies to the items in the entry.

                                                                                                                                                                                                                                                                                                            TypeCodeableConcept
                                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                                                                                                            Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                            1680. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029921.entry
                                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                                            A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                                                                                            ShortA reference to data that supports this section
                                                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                                                            If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                                                                                                                            This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                                                                            TypeReference(Resource)
                                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                            1682. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029921.emptyReason
                                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                                            If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                                                                                                            ShortWhy the section is empty
                                                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                                                            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.

                                                                                                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                                                                                                            This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                                                                                                            BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                                                                                                                            (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                                                                                                                                                                                                                                                                                            If a section is empty, why it is empty.

                                                                                                                                                                                                                                                                                                            TypeCodeableConcept
                                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                                                                                                            Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                            1684. Composition.section:QRD-200000029894.section:QRD-200000029914.section:QRD-200000029921.section
                                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                                            A nested sub-section within this section.

                                                                                                                                                                                                                                                                                                            ShortNested Section
                                                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                                                            Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                                                                                                                            TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                            SlicingThis element introduces a set of slices on Composition.section.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                                            • value @ code.coding.code