Generated Narrative: StructureDefinition mccod-composition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CompositionA set of resources composed into a single coherent clinical statement with clinical attestation
... status S1..1codepreliminary | final | amended
... type S1..1CodeableConceptLOINC 64297-5: Death certificate
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (Complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 64297-5
... subject S1..1Reference(Patient)The deceased patient
... date S1..1dateTimeDate of certification
... author S1..1Reference(Practitioner | PractitionerRole)Certifying practitioner
... title S1..1stringFixed: 'Medical Certificate of Cause of Death'
Required Pattern: Medical Certificate of Cause of Death
... custodian S1..1Reference(Organization)Certifying organization (hospital or institution)
... Slices for section 1..*BackboneElementComposition is broken into sections
Slice: Unordered, Open by value:code
.... section:frameA S1..1BackboneElementFrame A — Cause of Death (mandatory)
..... code 1..1CodeableConceptLOINC 79378-6: Cause of death
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (Complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 79378-6
..... entry S0..*Reference(MCCoD Cause of Death Condition | MCCoD Underlying Cause of Death | MCCoD Contributing Condition (Frame A Part 2))Causal chain Conditions, underlying cause, and contributing conditions
..... emptyReason 0..0Not permitted — Frame A is always mandatory
.... section:frameBGeneral S0..1BackboneElementFrame B — General Medical Data (optional)
..... code 1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding 1..1CodingCode defined by a terminology system
Fixed Value: (Complex)
....... system 0..1uriIdentity of the terminology system
Required Pattern: http://mccod.w3datanet.com/fhir/CodeSystem/mccod-section-codes
....... code 0..1codeSymbol in syntax defined by the system
Required Pattern: frame-b-general
....... display 0..1stringRepresentation defined by the system
Required Pattern: Frame B — General Medical Data
..... entry S0..*Reference(MCCoD Manner of Death | MCCoD Autopsy Performed | MCCoD Surgery Performed Within Last 4 Weeks | MCCoD Injury Incident (External Cause Details))Manner of death, autopsy, surgery, and external cause Observations
.... section:frameBFetalInfant S0..1BackboneElementFrame B — Fetal or Infant Death (optional; SHOULD be present for infant/newborn deaths)
..... code 1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding 1..1CodingCode defined by a terminology system
Fixed Value: (Complex)
....... system 0..1uriIdentity of the terminology system
Required Pattern: http://mccod.w3datanet.com/fhir/CodeSystem/mccod-section-codes
....... code 0..1codeSymbol in syntax defined by the system
Required Pattern: frame-b-fetal-infant
....... display 0..1stringRepresentation defined by the system
Required Pattern: Frame B — Fetal or Infant Death
..... entry S0..*Reference(MCCoD Fetal or Infant Death)MCCoDFetalOrInfantDeath Observation
.... section:frameBPregnancy S0..1BackboneElementFrame B — Women of Reproductive Age (optional; SHOULD be present for female aged 15-49)
..... code 1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding 1..1CodingCode defined by a terminology system
Fixed Value: (Complex)
....... system 0..1uriIdentity of the terminology system
Required Pattern: http://mccod.w3datanet.com/fhir/CodeSystem/mccod-section-codes
....... code 0..1codeSymbol in syntax defined by the system
Required Pattern: frame-b-pregnancy
....... display 0..1stringRepresentation defined by the system
Required Pattern: Frame B — Women of Reproductive Age
..... entry S0..*Reference(MCCoD Pregnancy Status at or Near Time of Death)MCCoDPregnancyStatus Observation

doco Documentation for this format
 <status value="draft"/> <experimental value="true"/> <date value="2026-05-21"/> <publisher value="Asia eHealth Information Network (AeHIN)"/> <contact> <name value="Asia eHealth Information Network (AeHIN)"/> <telecom> <system value="url"/> <value value="https://www.asiaehealthinformationnetwork.org"/> </telecom> </contact> <contact> <name value="AeHIN Secretariat"/> <telecom> <system value="url"/> <value value="https://www.asiaehealthinformationnetwork.org"/> </telecom> </contact> <description value="Profile on Composition representing a complete WHO Medical Certificate of Cause of Death (MCCoD) document. This is the top-level resource of the MCCoD document. It ties together all mandatory (Frame A) and optional (Frame B) profiles defined in this IG, and enforces cross-resource constraints through invariants. **Document type:** LOINC 64297-5 (Death certificate) is used as the Composition.type. **Participants:** - subject: the deceased Patient (base FHIR, unconstrained) - author: certifying Practitioner or PractitionerRole - custodian: certifying Organization All three reference base FHIR resources without further constraint, allowing member countries to extend per national requirements. **Sections:** - Frame A (1..1 MANDATORY): Cause of death chain, underlying cause, and contributing conditions - Frame B General (0..1 OPTIONAL): Surgery, autopsy, manner of death, external cause - Frame B Fetal/Infant (0..1 OPTIONAL): Fetal/infant death details; SHOULD be populated for infant deaths and stillbirths - Frame B Pregnancy (0..1 OPTIONAL): Pregnancy status; SHOULD be populated for female deceased aged 15-49 **Mandatory constraints (error-level):** - Frame A SHALL contain exactly one Condition with linePosition=a - If line c present, line b SHALL be present - If line d present, line c SHALL be present - Frame A SHALL contain exactly one UnderlyingCauseOfDeath - If a Frame B fetal/infant or pregnancy section is present but contains no entries, emptyReason SHALL be present **Conditional guidance (warning-level):** - If manner of death is an external cause, MCCoDInjuryIncident SHOULD be present in frameBGeneral - If deceased was infant/newborn (age < 28 days), frameBFetalInfant SHOULD be populated - If deceased was female aged 15-49, frameBPregnancy SHOULD be populated"/> <jurisdiction> <coding> <system value="http://un.org"/> <code value="142"/> <display value="Asia"/> </coding> <coding> <system value="http://hl7.org"/> <code value="X1"/> <display value="Asia"/> </coding> </jurisdiction> <copyright value="Copyright 2026 AeHIN. Licensed under CC0-1.0."/> <fhirVersion value="4.0.1"/> <mapping> <identity value="WHO-MCCoD"/> <uri value="https://www.who.int/standards/classifications/classification-of-diseases/mccod"/> <name value="WHO Medical Certificate of Cause of Death"/> </mapping> <mapping> <identity value="openEHR"/> <uri value="https://ckm.openehr.org/ckm/archetypes/1013.1.5605"/> <name value="openEHR death_summary archetype (v0)"/> </mapping> <mapping> <identity value="workflow"/> <uri value="http://hl7.org/fhir/workflow"/> <name value="Workflow Pattern"/> </mapping> <mapping> <identity value="rim"/> <uri value="http://hl7.org/v3"/> <name value="RIM Mapping"/> </mapping> <mapping> <identity value="cda"/> <uri value="http://hl7.org/v3/cda"/> <name value="CDA (R2)"/> </mapping> <mapping> <identity value="fhirdocumentreference"/> <uri value="http://hl7.org/fhir/documentreference"/> <name value="FHIR DocumentReference"/> </mapping> <mapping> <identity value="w5"/> <uri value="http://hl7.org/fhir/fivews"/> <name value="FiveWs Pattern Mapping"/> </mapping> <kind value="resource"/> <abstract value="false"/> <type value="Composition"/> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Composition"/> <derivation value="constraint"/> <snapshot> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version"> <valueString value="4.0.1"/> </extension> <element id="Composition"> <path value="Composition"/> <short value="A set of resources composed into a single coherent clinical statement with clinical attestation"/> <definition value="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.)."/> <comment value="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."/> <min value="0"/> <max value="*"/> <base> <path value="Composition"/> <min value="0"/> <max value="*"/> </base> <constraint> <key value="dom-2"/> <severity value="error"/> <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/> <expression value="contained.contained.empty()"/> <xpath value="not(parent::f:contained and f:contained)"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <key value="dom-3"/> <severity value="error"/> <human value="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"/> <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"/> <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <key value="dom-4"/> <severity value="error"/> <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/> <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/> <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <key value="dom-5"/> <severity value="error"/> <human value="If a resource is contained in another resource, it SHALL NOT have a security label"/> <expression value="contained.meta.security.empty()"/> <xpath value="not(exists(f:contained/*/f:meta/f:security))"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice"> <valueBoolean value="true"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation"> <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."/> </extension> <key value="dom-6"/> <severity value="warning"/> <human value="A resource should have narrative for robust management"/> <expression value="text.`div`.exists()"/> <xpath value="exists(f:text/h:div)"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="Entity. Role, or Act"/> </mapping> <mapping> <identity value="workflow"/> <map value="Event"/> </mapping> <mapping> <identity value="rim"/> <map value="Document[classCode="DOC" and moodCode="EVN" and isNormalAct()]"/> </mapping> <mapping> <identity value="cda"/> <map value="ClinicalDocument"/> </mapping> <mapping> <identity value="fhirdocumentreference"/> <map value="when described by DocumentReference"/> </mapping> </element> <element id="Composition.id"> <path value="Composition.id"/> <short value="Logical id of this artifact"/> <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/> <comment value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="id"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="Composition.meta"> <path value="Composition.meta"/> <short value="Metadata about the resource"/> <definition value="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."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.meta"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Meta"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="Composition.implicitRules"> <path value="Composition.implicitRules"/> <short value="A set of rules under which this content was created"/> <definition value="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."/> <comment value="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 it's narrative along with other profiles, value sets, etc."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.implicitRules"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="true"/> <isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation"/> <isSummary value="true"/> </element> <element id="Composition.language"> <path value="Composition.language"/> <short value="Language of the resource content"/> <definition value="The base language in which the resource is written."/> <comment value="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)."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.language"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"> <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Language"/> </extension> <strength value="preferred"/> <description value="A human language."/> <valueSet value="http://hl7.org/fhir/ValueSet/languages|4.0.1"/> </binding> </element> <element id="Composition.text"> <path value="Composition.text"/> <short value="Text summary of the resource, for human interpretation"/> <definition value="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."/> <comment value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later."/> <alias value="narrative"/> <alias value="html"/> <alias value="xhtml"/> <alias value="display"/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Narrative"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="Act.text?"/> </mapping> </element> <element id="Composition.contained"> <path value="Composition.contained"/> <short value="Contained, inline Resources"/> <definition value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope."/> <comment value="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."/> <alias value="inline resources"/> <alias value="anonymous resources"/> <alias value="contained resources"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.contained"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Resource"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Composition.extension"> <path value="Composition.extension"/> <short value="Additional content defined by implementations"/> <definition value="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 manageable, 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."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Composition.modifierExtension"> <path value="Composition.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Composition.identifier"> <path value="Composition.identifier"/> <short value="Version-independent identifier for the Composition"/> <definition value="A version-independent identifier for the Composition. This identifier stays constant as the composition is changed over time."/> <comment value="Similar to ClinicalDocument/setId in CDA. See discussion in resource definition for how these relate."/> <min value="0"/> <max value="1"/> <base> <path value="Composition.identifier"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.identifier"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.identifier"/> </mapping> <mapping> <identity value="rim"/> <map value="Document.id / Document.setId"/> </mapping> <mapping> <identity value="cda"/> <map value=".setId"/> </mapping> <mapping> <identity value="fhirdocumentreference"/> <map value="DocumentReference.masterIdentifier"/> </mapping> </element> <element id="Composition.status"> <path value="Composition.status"/> <short value="preliminary | final | amended"/> <definition value="preliminary: certificate is being completed but not yet signed. final: certificate has been certified and signed by practitioner. amended: certificate has been corrected after initial certification."/> <comment value="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."/> <requirements value="Need to be able to mark interim, amended, or withdrawn compositions or documents."/> <min value="1"/> <max value="1"/> <base> <path value="Composition.status"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="true"/> <isModifierReason value="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"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="CompositionStatus"/> </extension> <strength value="required"/> <description value="The workflow/clinical status of the composition."/> <valueSet value="http://hl7.org/fhir/ValueSet/composition-status|4.0.1"/> </binding> <mapping> <identity value="WHO-MCCoD"/> <map value="N/A — certificate workflow status"/> </mapping> <mapping> <identity value="workflow"/> <map value="Event.status"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.status"/> </mapping> <mapping> <identity value="rim"/> <map value="interim: .completionCode="IN" & ./statusCode[isNormalDatatype()]="active"; final: .completionCode="AU" && ./statusCode[isNormalDatatype()]="complete" and not(./inboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") and moodCode="EVN" and domainMember("ReviseComposition", code) and isNormalAct()]); amended: .completionCode="AU" && ./statusCode[isNormalDatatype()]="complete" and ./inboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") and moodCode="EVN" and domainMember("ReviseComposition", code) and isNormalAct() and statusCode="completed"]; withdrawn : .completionCode=NI && ./statusCode[isNormalDatatype()]="obsolete""/> </mapping> <mapping> <identity value="cda"/> <map value="n/a"/> </mapping> <mapping> <identity value="fhirdocumentreference"/> <map value="DocumentReference.status"/> </mapping> </element> <element id="Composition.type"> <path value="Composition.type"/> <short value="LOINC 64297-5: Death certificate"/> <definition value="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."/> <comment value="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."/> <requirements value="Key metadata element describing the composition, used in searching/filtering."/> <min value="1"/> <max value="1"/> <base> <path value="Composition.type"/> <min value="1"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <patternCodeableConcept> <coding> <system value="http://loinc.org"/> <code value="64297-5"/> </coding> </patternCodeableConcept> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="DocumentType"/> </extension> <strength value="preferred"/> <description value="Type of a composition."/> <valueSet value="http://hl7.org/fhir/ValueSet/doc-typecodes|4.0.1"/> </binding> <mapping> <identity value="WHO-MCCoD"/> <map value="WHO Medical Certificate of Cause of Death"/> </mapping> <mapping> <identity value="openEHR"/> <map value="death_summary composition type"/> </mapping> <mapping> <identity value="workflow"/> <map value="Event.code"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.class"/> </mapping> <mapping> <identity value="rim"/> <map value="./code"/> </mapping> <mapping> <identity value="cda"/> <map value=".code"/> </mapping> <mapping> <identity value="fhirdocumentreference"/> <map value="DocumentReference.type"/> </mapping> </element> <element id="Composition.category"> <path value="Composition.category"/> <short value="Categorization of Composition"/> <definition value="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."/> <comment value="This is a metadata field from [XDS/MHD](http://wiki.ihe.net/index.php?title=Mobile_access_to_Health_Documents_(MHD))."/> <requirements value="Helps humans to assess whether the composition is of interest when viewing an index of compositions or documents."/> <min value="0"/> <max value="*"/> <base> <path value="Composition.category"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="DocumentCategory"/> </extension> <strength value="example"/> <description value="High-level kind of a clinical document at a macro level."/> <valueSet value="http://hl7.org/fhir/ValueSet/document-classcodes|4.0.1"/> </binding> <mapping> <identity value="workflow"/> <map value="Event.subject"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.class"/> </mapping> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code"/> </mapping> <mapping> <identity value="cda"/> <map value="n/a"/> </mapping> <mapping> <identity value="fhirdocumentreference"/> <map value="DocumenttReference.category"/> </mapping> </element> <element id="Composition.subject"> <path value="Composition.subject"/> <short value="The deceased patient"/> <definition value="Reference to the Patient resource representing the deceased. Unconstrained base FHIR Patient to allow member countries to extend per national requirements (e.g. national ID systems, address formats, religion, occupation fields from the MCCoD form)."/> <comment value="For clinical documents, this is usually the patient."/> <requirements value="Essential metadata for searching for the composition. Identifies who and/or what the composition/document is about."/> <min value="1"/> <max value="1"/> <base> <path value="Composition.subject"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="WHO-MCCoD"/> <map value="Patient Name, Father's/Mother's Name, Address, Sex, Religion, Occupation, Date of Birth, NID fields"/> </mapping> <mapping> <identity value="openEHR"/> <map value="EHR subject"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.subject[x]"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode="SBJ"].role[typeCode="PAT"]"/> </mapping> <mapping> <identity value="cda"/> <map value=".recordTarget"/> </mapping> <mapping> <identity value="fhirdocumentreference"/> <map value="DocumentReference.subject"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.subject"/> </mapping> </element> <element id="Composition.encounter"> <path value="Composition.encounter"/> <short value="Context of the Composition"/> <definition value="Describes the clinical encounter or type of care this documentation is associated with."/> <requirements value="Provides context for the composition and supports searching."/> <min value="0"/> <max value="1"/> <base> <path value="Composition.encounter"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.context"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.context"/> </mapping> <mapping> <identity value="rim"/> <map value="unique(highest(./outboundRelationship[typeCode="SUBJ" and isNormalActRelationship()], priorityNumber)/target[moodCode="EVN" and classCode=("ENC", "PCPR") and isNormalAct])"/> </mapping> <mapping> <identity value="cda"/> <map value=".componentOf.encompassingEncounter"/> </mapping> <mapping> <identity value="fhirdocumentreference"/> <map value="DocumentReference.context.encounter"/> </mapping> </element> <element id="Composition.date"> <path value="Composition.date"/> <short value="Date of certification"/> <definition value="The date on which the certificate was completed and signed by the certifying practitioner."/> <comment value="The Last Modified Date on the composition may be after the date of the document was attested without being changed."/> <requirements value="dateTime is used for tracking, organizing versions and searching. Note that this is the time of *authoring*. When packaged in a document, [Bundle.timestamp](http://hl7.org/fhir/R4/bundle-definitions.html#Bundle.timestamp) is the date of packaging."/> <min value="1"/> <max value="1"/> <base> <path value="Composition.date"/> <min value="1"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="WHO-MCCoD"/> <map value="Signature with Date field"/> </mapping> <mapping> <identity value="openEHR"/> <map value="composition/context/start_time"/> </mapping> <mapping> <identity value="workflow"/> <map value="Event.occurrence[x]"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.done[x]"/> </mapping> <mapping> <identity value="rim"/> <map value=".effectiveTime[type="TS"]"/> </mapping> <mapping> <identity value="cda"/> <map value=".effectiveTime"/> </mapping> <mapping> <identity value="fhirdocumentreference"/> <map value="DocumentReference.content.attachment.date, DocumentReference.created"/> </mapping> </element> <element id="Composition.author"> <path value="Composition.author"/> <short value="Certifying practitioner"/> <definition value="The practitioner who certified the cause of death and signed the certificate. References base FHIR Practitioner or PractitionerRole without further constraint to allow member countries to extend per national requirements (e.g. BMDC registration number in Bangladesh)."/> <requirements value="Identifies who is responsible for the content."/> <min value="1"/> <max value="1"/> <base> <path value="Composition.author"/> <min value="1"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="WHO-MCCoD"/> <map value="Name, Position, BMDC Reg. No. fields"/> </mapping> <mapping> <identity value="openEHR"/> <map value="death_summary/composer"/> </mapping> <mapping> <identity value="workflow"/> <map value="Event.performer"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.author"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode="AUT"].role[classCode="ASSIGNED"]"/> </mapping> <mapping> <identity value="cda"/> <map value=".author.assignedAuthor"/> </mapping> <mapping> <identity value="fhirdocumentreference"/> <map value="DocumentReference.agent"/> </mapping> </element> <element id="Composition.title"> <path value="Composition.title"/> <short value="Fixed: 'Medical Certificate of Cause of Death'"/> <definition value="Official human-readable label for the composition."/> <comment value="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."/> <min value="1"/> <max value="1"/> <base> <path value="Composition.title"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> <patternString value="Medical Certificate of Cause of Death"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="./title"/> </mapping> <mapping> <identity value="cda"/> <map value=".title"/> </mapping> <mapping> <identity value="fhirdocumentreference"/> <map value="DocumentReference.description, DocumentReference.content.attachment.title"/> </mapping> </element> <element id="Composition.confidentiality"> <path value="Composition.confidentiality"/> <short value="As defined by affinity domain"/> <definition value="The code specifying the level of confidentiality of the Composition."/> <comment value="The exact use of this element, and enforcement and issues related to highly sensitive documents are out of scope for the base specification, and delegated to implementation profiles (see security section). This element is labeled as a modifier because highly confidential documents must not be treated as if they are not."/> <min value="0"/> <max value="1"/> <base> <path value="Composition.confidentiality"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="DocumentConfidentiality"/> </extension> <strength value="required"/> <description value="Codes specifying the level of confidentiality of the composition."/> <valueSet value="http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26"/> </binding> <mapping> <identity value="rim"/> <map value=".confidentialityCode"/> </mapping> <mapping> <identity value="cda"/> <map value=".confidentialityCode"/> </mapping> <mapping> <identity value="fhirdocumentreference"/> <map value="DocumentReference.securityLabel"/> </mapping> </element> <element id="Composition.attester"> <path value="Composition.attester"/> <short value="Attests to accuracy of composition"/> <definition value="A participant who has attested to the accuracy of the composition/document."/> <comment value="Only list each attester once."/> <requirements value="Identifies responsibility for the accuracy of the composition content."/> <min value="0"/> <max value="*"/> <base> <path value="Composition.attester"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".participation[typeCode="AUTHEN"].role[classCode="ASSIGNED"]"/> </mapping> <mapping> <identity value="cda"/> <map value=".authenticator/.legalAuthenticator"/> </mapping> <mapping> <identity value="fhirdocumentreference"/> <map value="DocumentReference.authenticator"/> </mapping> </element> <element id="Composition.attester.id"> <path value="Composition.attester.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Composition.attester.extension"> <path value="Composition.attester.extension"/> <short value="Additional content defined by implementations"/> <definition value="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 manageable, 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."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Composition.attester.modifierExtension"> <path value="Composition.attester.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="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 manageable, 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Composition.attester.mode"> <path value="Composition.attester.mode"/> <short value="personal | professional | legal | official"/> <definition value="The type of attestation the authenticator offers."/> <requirements value="Indicates the level of authority of the attestation."/> <min value="1"/> <max value="1"/> <base> <path value="Composition.attester.mode"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="CompositionAttestationMode"/> </extension> <strength value="required"/> <description value="The way in which a person authenticated a composition."/> <valueSet value="http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value="unique(./modeCode)"/> </mapping> <mapping> <identity value="cda"/> <map value="implied by .authenticator/.legalAuthenticator"/> </mapping> </element> <element id="Composition.attester.time"> <path value="Composition.attester.time"/> <short value="When the composition was attested"/> <definition value="When the composition was attested by the party."/> <requirements value="Identifies when the information in the composition was deemed accurate. (Things may have changed since then.)."/> <min value="0"/> <max value="1"/> <base> <path value="Composition.attester.time"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="./time[type="TS" and isNormalDatatype()]"/> </mapping> <mapping> <identity value="cda"/> <map value=".authenticator.time"/> </mapping> </element> <element id="Composition.attester.party"> <path value="Composition.attester.party"/> <short value="Who attested the composition"/> <definition value="Who attested the composition in the specified way."/> <requirements value="Identifies who has taken on the responsibility for accuracy of the composition content."/> <min value="0"/> <max value="1"/> <base> <path value="Composition.attester.party"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient|4.0.1"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="w5"/> <map value="FiveWs.witness"/> </mapping> <mapping> <identity value="rim"/> <map value="./role[classCode="ASSIGNED" and isNormalRole]/player[determinerCode="INST" and classCode=("DEV", "PSN") and isNormalEntity()] or ./role[classCode="ASSIGNED" and isNormalRole and not(player)]/scoper[determinerCode="INST" and classCode="ORG" and isNormalEntity()]"/> </mapping> <mapping> <identity value="cda"/> <map value=".authenticator.assignedEnttty"/> </mapping> </element> <element id="Composition.custodian"> <path value="Composition.custodian"/> <short value="Certifying organization (hospital or institution)"/> <definition value="The organization responsible for the certificate. References base FHIR Organization without further constraint. Corresponds to the Hospital Name, Hospital Code No., Ward No., and Admission Reg. No. fields on the MCCoD form."/> <comment value="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."/> <requirements value="Identifies where to go to find the current version, where to report issues, etc."/> <min value="1"/> <max value="1"/> <base> <path value="Composition.custodian"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="WHO-MCCoD"/> <map value="Hospital Name, Hospital Code No., Ward No., Bangladesh Form No."/> </mapping> <mapping> <identity value="openEHR"/> <map value="composition/context/health_care_facility"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode="RCV"].role[classCode="CUST"].scoper[classCode="ORG" and determinerCode="INST"]"/> </mapping> <mapping> <identity value="cda"/> <map value=".custodian.assignedCustodian"/> </mapping> <mapping> <identity value="fhirdocumentreference"/> <map value="DocumentReference.custodian"/> </mapping> </element> <element id="Composition.relatesTo"> <path value="Composition.relatesTo"/> <short value="Relationships to other compositions/documents"/> <definition value="Relationships that this composition has with other compositions or documents that already exist."/> <comment value="A document is a version specific composition."/> <min value="0"/> <max value="*"/> <base> <path value="Composition.relatesTo"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship"/> </mapping> <mapping> <identity value="cda"/> <map value=".relatedDocument"/> </mapping> <mapping> <identity value="fhirdocumentreference"/> <map value="DocumentReference.relatesTo"/> </mapping> </element> <element id="Composition.relatesTo.id"> <path value="Composition.relatesTo.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Composition.relatesTo.extension"> <path value="Composition.relatesTo.extension"/> <short value="Additional content defined by implementations"/> <definition value="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 manageable, 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."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Composition.relatesTo.modifierExtension"> <path value="Composition.relatesTo.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="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 manageable, 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Composition.relatesTo.code"> <path value="Composition.relatesTo.code"/> <short value="replaces | transforms | signs | appends"/> <definition value="The type of relationship that this composition has with anther composition or document."/> <comment value="If this document appends another document, then the document cannot be fully understood without also accessing the referenced document."/> <min value="1"/> <max value="1"/> <base> <path value="Composition.relatesTo.code"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="DocumentRelationshipType"/> </extension> <strength value="required"/> <description value="The type of relationship between documents."/> <valueSet value="http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value=".outboundRelationship.typeCode"/> </mapping> <mapping> <identity value="cda"/> <map value=".relatedDocument.typeCode"/> </mapping> <mapping> <identity value="fhirdocumentreference"/> <map value="DocumentReference.relatesTo.code"/> </mapping> </element> <element id="Composition.relatesTo.target[x]"> <path value="Composition.relatesTo.target[x]"/> <short value="Target of the relationship"/> <definition value="The target composition/document of this relationship."/> <min value="1"/> <max value="1"/> <base> <path value="Composition.relatesTo.target[x]"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Composition|4.0.1"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".target[classCode="DOC", moodCode="EVN"].id"/> </mapping> <mapping> <identity value="cda"/> <map value=".relatedDocument.id"/> </mapping> <mapping> <identity value="fhirdocumentreference"/> <map value="DocumentReference.relatesTo.target"/> </mapping> </element> <element id="Composition.event"> <path value="Composition.event"/> <short value="The clinical service(s) being documented"/> <definition value="The clinical service, such as a colonoscopy or an appendectomy, being documented."/> <comment value="The event needs to be consistent with the type element, though can provide further information if desired."/> <requirements value="Provides context for the composition and creates a linkage between a resource describing an event and the composition created describing the event."/> <min value="0"/> <max value="*"/> <base> <path value="Composition.event"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="outboundRelationship[typeCode="SUBJ"].target[classCode<'ACT']"/> </mapping> <mapping> <identity value="cda"/> <map value=".documentationOf.serviceEvent"/> </mapping> <mapping> <identity value="fhirdocumentreference"/> <map value="DocumentReference.event"/> </mapping> </element> <element id="Composition.event.id"> <path value="Composition.event.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Composition.event.extension"> <path value="Composition.event.extension"/> <short value="Additional content defined by implementations"/> <definition value="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 manageable, 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."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Composition.event.modifierExtension"> <path value="Composition.event.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="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 manageable, 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Composition.event.code"> <path value="Composition.event.code"/> <short value="Code(s) that apply to the event being documented"/> <definition value="This list of codes represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented. In some cases, the event is inherent in the typeCode, such as a "History and Physical Report" in which the procedure being documented is necessarily a "History and Physical" act."/> <comment value="An event can further specialize the act inherent in the typeCode, such as where it is simply "Procedure Report" and the procedure was a "colonoscopy". If one or more eventCodes are included, they SHALL NOT conflict with the values inherent in the classCode, practiceSettingCode or typeCode, as such a conflict would create an ambiguous situation. This short list of codes is provided to be used as key words for certain types of queries."/> <min value="0"/> <max value="*"/> <base> <path value="Composition.event.code"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="DocumentEventType"/> </extension> <strength value="example"/> <description value="This list of codes represents the main clinical acts being documented."/> <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActCode"/> </binding> <mapping> <identity value="rim"/> <map value=".code"/> </mapping> <mapping> <identity value="cda"/> <map value=".code"/> </mapping> <mapping> <identity value="fhirdocumentreference"/> <map value="DocumentReference.event.code"/> </mapping> </element> <element id="Composition.event.period"> <path value="Composition.event.period"/> <short value="The period covered by the documentation"/> <definition value="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."/> <min value="0"/> <max value="1"/> <base> <path value="Composition.event.period"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Period"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".effectiveTime"/> </mapping> <mapping> <identity value="cda"/> <map value=".effectiveTime"/> </mapping> <mapping> <identity value="fhirdocumentreference"/> <map value="DocumentReference.event.period"/> </mapping> </element> <element id="Composition.event.detail"> <path value="Composition.event.detail"/> <short value="The event(s) being documented"/> <definition value="The description and/or reference of the event(s) being documented. For example, this could be used to document such a colonoscopy or an appendectomy."/> <min value="0"/> <max value="*"/> <base> <path value="Composition.event.detail"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode="SUBJ"].target"/> </mapping> <mapping> <identity value="cda"/> <map value="n/a"/> </mapping> </element> <element id="Composition.section"> <path value="Composition.section"/> <slicing> <discriminator> <type value="value"/> <path value="code"/> </discriminator> <description value="MCCoD Frame A and Frame B sections"/> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Composition is broken into sections"/> <definition value="The root of the sections that make up the composition."/> <min value="1"/> <max value="*"/> <base> <path value="Composition.section"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="cmp-1"/> <severity value="error"/> <human value="A section must contain at least one of text, entries, or sub-sections"/> <expression value="text.exists() or entry.exists() or section.exists()"/> <xpath value="exists(f:text) or exists(f:entry) or exists(f:section)"/> <source value="http://hl7.org/fhir/StructureDefinition/Composition"/> </constraint> <constraint> <key value="cmp-2"/> <severity value="error"/> <human value="A section can only have an emptyReason if it is empty"/> <expression value="emptyReason.empty() or entry.empty()"/> <xpath value="not(exists(f:emptyReason) and exists(f:entry))"/> <source value="http://hl7.org/fhir/StructureDefinition/Composition"/> </constraint> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"/> </mapping> <mapping> <identity value="cda"/> <map value=".component.structuredBody.component.section"/> </mapping> </element> <element id="Composition.section.id"> <path value="Composition.section.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Composition.section.extension"> <path value="Composition.section.extension"/> <short value="Additional content defined by implementations"/> <definition value="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 manageable, 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."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Composition.section.modifierExtension"> <path value="Composition.section.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="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 manageable, 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Composition.section.title"> <path value="Composition.section.title"/> <short value="Label for section (e.g. for ToC)"/> <definition value="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."/> <comment value="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."/> <requirements value="Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized."/> <alias value="header"/> <alias value="label"/> <alias value="caption"/> <min value="0"/> <max value="1"/> <base> <path value="Composition.section.title"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="./title"/> </mapping> <mapping> <identity value="cda"/> <map value=".title"/> </mapping> </element> <element id="Composition.section.code"> <path value="Composition.section.code"/> <short value="Classification of section (recommended)"/> <definition value="A code identifying the kind of content contained within the section. This must be consistent with the section title."/> <comment value="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."/> <requirements value="Provides computable standardized labels to topics within the document."/> <min value="0"/> <max value="1"/> <base> <path value="Composition.section.code"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="CompositionSectionType"/> </extension> <strength value="example"/> <description value="Classification of a section of a composition/document."/> <valueSet value="http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value="./code"/> </mapping> <mapping> <identity value="cda"/> <map value=".code"/> </mapping> </element> <element id="Composition.section.author"> <path value="Composition.section.author"/> <short value="Who and/or what authored the section"/> <definition value="Identifies who is responsible for the information in this section, not necessarily who typed it in."/> <requirements value="Identifies who is responsible for the content."/> <min value="0"/> <max value="*"/> <base> <path value="Composition.section.author"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device|4.0.1"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient|4.0.1"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="w5"/> <map value="FiveWs.author"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode="AUT"].role[classCode="ASSIGNED"]"/> </mapping> <mapping> <identity value="cda"/> <map value=".author.assignedAuthor"/> </mapping> </element> <element id="Composition.section.focus"> <path value="Composition.section.focus"/> <short value="Who/what the section is about, when it is not about the subject of composition"/> <definition value="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)."/> <comment value="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."/> <min value="0"/> <max value="1"/> <base> <path value="Composition.section.focus"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="cda"/> <map value=".subject? (CDA did not differentiate between subject and focus)"/> </mapping> </element> <element id="Composition.section.text"> <path value="Composition.section.text"/> <short value="Text summary of the section, for human interpretation"/> <definition value="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."/> <comment value="Document profiles may define what content should be represented in the narrative to ensure clinical safety."/> <min value="0"/> <max value="1"/> <base> <path value="Composition.section.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Narrative"/> </type> <condition value="cmp-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> <mapping> <identity value="cda"/> <map value=".text"/> </mapping> </element> <element id="Composition.section.mode"> <path value="Composition.section.mode"/> <short value="working | snapshot | changes"/> <definition value="How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted."/> <comment value="This element is labeled as a modifier because a change list must not be misunderstood as a complete list."/> <requirements value="Sections are used in various ways, and it must be known in what way it is safe to use the entries in them."/> <min value="0"/> <max value="1"/> <base> <path value="Composition.section.mode"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="SectionMode"/> </extension> <strength value="required"/> <description value="The processing mode that applies to this section."/> <valueSet value="http://hl7.org/fhir/ValueSet/list-mode|4.0.1"/> </binding> <mapping> <identity value="w5"/> <map value="FiveWs.class"/> </mapping> <mapping> <identity value="rim"/> <map value=".outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value"/> </mapping> <mapping> <identity value="cda"/> <map value="n/a"/> </mapping> </element> <element id="Composition.section.orderedBy"> <path value="Composition.section.orderedBy"/> <short value="Order of section entries"/> <definition value="Specifies the order applied to the items in the section entries."/> <comment value="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."/> <requirements value="Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries."/> <min value="0"/> <max value="1"/> <base> <path value="Composition.section.orderedBy"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="SectionEntryOrder"/> </extension> <strength value="preferred"/> <description value="What order applies to the items in the entry."/> <valueSet value="http://hl7.org/fhir/ValueSet/list-order|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].sequenceNumber > 1"/> </mapping> <mapping> <identity value="cda"/> <map value="n/a"/> </mapping> </element> <element id="Composition.section.entry"> <path value="Composition.section.entry"/> <short value="A reference to data that supports this section"/> <definition value="A reference to the actual resource from which the narrative in the section is derived."/> <comment value="If there are no entries in the list, an emptyReason SHOULD be provided."/> <min value="0"/> <max value="*"/> <base> <path value="Composition.section.entry"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"/> </type> <condition value="cmp-2"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"/> </mapping> <mapping> <identity value="cda"/> <map value=".entry"/> </mapping> </element> <element id="Composition.section.emptyReason"> <path value="Composition.section.emptyReason"/> <short value="Why the section is empty"/> <definition value="If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason."/> <comment value="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."/> <requirements value="Allows capturing things like "none exist" or "not asked" which can be important for most lists."/> <min value="0"/> <max value="1"/> <base> <path value="Composition.section.emptyReason"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <condition value="cmp-2"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="SectionEmptyReason"/> </extension> <strength value="preferred"/> <description value="If a section is empty, why it is empty."/> <valueSet value="http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value=".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]"/> </mapping> <mapping> <identity value="cda"/> <map value="n/a"/> </mapping> </element> <element id="Composition.section.section"> <path value="Composition.section.section"/> <short value="Nested Section"/> <definition value="A nested sub-section within this section."/> <comment value="Nested sections are primarily used to help human readers navigate to particular portions of the document."/> <min value="0"/> <max value="*"/> <base> <path value="Composition.section.section"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/Composition#Composition.section"/> <condition value="cmp-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"/> </mapping> <mapping> <identity value="cda"/> <map value=".component.section"/> </mapping> </element> <element id="Composition.section:frameA"> <path value="Composition.section"/> <sliceName value="frameA"/> <short value="Frame A — Cause of Death (mandatory)"/> <definition value="Mandatory section containing the causal chain of death (lines a-d), the underlying cause of death, and other significant contributing conditions (Part 2). All entries are Condition resources profiled according to this IG."/> <min value="1"/> <max value="1"/> <base> <path value="Composition.section"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="cmp-1"/> <severity value="error"/> <human value="A section must contain at least one of text, entries, or sub-sections"/> <expression value="text.exists() or entry.exists() or section.exists()"/> <xpath value="exists(f:text) or exists(f:entry) or exists(f:section)"/> <source value="http://hl7.org/fhir/StructureDefinition/Composition"/> </constraint> <constraint> <key value="cmp-2"/> <severity value="error"/> <human value="A section can only have an emptyReason if it is empty"/> <expression value="emptyReason.empty() or entry.empty()"/> <xpath value="not(exists(f:emptyReason) and exists(f:entry))"/> <source value="http://hl7.org/fhir/StructureDefinition/Composition"/> </constraint> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="WHO-MCCoD"/> <map value="Frame A: Medical data Part 1 and 2"/> </mapping> <mapping> <identity value="openEHR"/> <map value="death_summary/cause_of_death + contributing_factors"/> </mapping> <mapping> <identity value="rim"/> <map value="./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"/> </mapping> <mapping> <identity value="cda"/> <map value=".component.structuredBody.component.section"/> </mapping> </element> <element id="Composition.section:frameA.id"> <path value="Composition.section.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Composition.section:frameA.extension"> <path value="Composition.section.extension"/> <short value="Additional content defined by implementations"/> <definition value="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 manageable, 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."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Composition.section:frameA.modifierExtension"> <path value="Composition.section.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="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 manageable, 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Composition.section:frameA.title"> <path value="Composition.section.title"/> <short value="Label for section (e.g. for ToC)"/> <definition value="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."/> <comment value="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."/> <requirements value="Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized."/> <alias value="header"/> <alias value="label"/> <alias value="caption"/> <min value="0"/> <max value="1"/> <base> <path value="Composition.section.title"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="./title"/> </mapping> <mapping> <identity value="cda"/> <map value=".title"/> </mapping> </element> <element id="Composition.section:frameA.code"> <path value="Composition.section.code"/> <short value="LOINC 79378-6: Cause of death"/> <definition value="A code identifying the kind of content contained within the section. This must be consistent with the section title."/> <comment value="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."/> <requirements value="Provides computable standardized labels to topics within the document."/> <min value="1"/> <max value="1"/> <base> <path value="Composition.section.code"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <patternCodeableConcept> <coding> <system value="http://loinc.org"/> <code value="79378-6"/> </coding> </patternCodeableConcept> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="CompositionSectionType"/> </extension> <strength value="example"/> <description value="Classification of a section of a composition/document."/> <valueSet value="http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value="./code"/> </mapping> <mapping> <identity value="cda"/> <map value=".code"/> </mapping> </element> <element id="Composition.section:frameA.author"> <path value="Composition.section.author"/> <short value="Who and/or what authored the section"/> <definition value="Identifies who is responsible for the information in this section, not necessarily who typed it in."/> <requirements value="Identifies who is responsible for the content."/> <min value="0"/> <max value="*"/> <base> <path value="Composition.section.author"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device|4.0.1"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient|4.0.1"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="w5"/> <map value="FiveWs.author"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode="AUT"].role[classCode="ASSIGNED"]"/> </mapping> <mapping> <identity value="cda"/> <map value=".author.assignedAuthor"/> </mapping> </element> <element id="Composition.section:frameA.focus"> <path value="Composition.section.focus"/> <short value="Who/what the section is about, when it is not about the subject of composition"/> <definition value="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)."/> <comment value="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."/> <min value="0"/> <max value="1"/> <base> <path value="Composition.section.focus"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="cda"/> <map value=".subject? (CDA did not differentiate between subject and focus)"/> </mapping> </element> <element id="Composition.section:frameA.text"> <path value="Composition.section.text"/> <short value="Text summary of the section, for human interpretation"/> <definition value="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."/> <comment value="Document profiles may define what content should be represented in the narrative to ensure clinical safety."/> <min value="0"/> <max value="1"/> <base> <path value="Composition.section.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Narrative"/> </type> <condition value="cmp-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> <mapping> <identity value="cda"/> <map value=".text"/> </mapping> </element> <element id="Composition.section:frameA.mode"> <path value="Composition.section.mode"/> <short value="working | snapshot | changes"/> <definition value="How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted."/> <comment value="This element is labeled as a modifier because a change list must not be misunderstood as a complete list."/> <requirements value="Sections are used in various ways, and it must be known in what way it is safe to use the entries in them."/> <min value="0"/> <max value="1"/> <base> <path value="Composition.section.mode"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="SectionMode"/> </extension> <strength value="required"/> <description value="The processing mode that applies to this section."/> <valueSet value="http://hl7.org/fhir/ValueSet/list-mode|4.0.1"/> </binding> <mapping> <identity value="w5"/> <map value="FiveWs.class"/> </mapping> <mapping> <identity value="rim"/> <map value=".outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value"/> </mapping> <mapping> <identity value="cda"/> <map value="n/a"/> </mapping> </element> <element id="Composition.section:frameA.orderedBy"> <path value="Composition.section.orderedBy"/> <short value="Order of section entries"/> <definition value="Specifies the order applied to the items in the section entries."/> <comment value="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."/> <requirements value="Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries."/> <min value="0"/> <max value="1"/> <base> <path value="Composition.section.orderedBy"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="SectionEntryOrder"/> </extension> <strength value="preferred"/> <description value="What order applies to the items in the entry."/> <valueSet value="http://hl7.org/fhir/ValueSet/list-order|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].sequenceNumber > 1"/> </mapping> <mapping> <identity value="cda"/> <map value="n/a"/> </mapping> </element> <element id="Composition.section:frameA.entry"> <path value="Composition.section.entry"/> <short value="Causal chain Conditions, underlying cause, and contributing conditions"/> <definition value="SHALL contain: - Exactly one MCCoDCauseOfDeathCondition with linePosition=a - Zero or one MCCoDCauseOfDeathCondition with linePosition=b - Zero or one MCCoDCauseOfDeathCondition with linePosition=c - Zero or one MCCoDCauseOfDeathCondition with linePosition=d - Exactly one MCCoDUnderlyingCauseOfDeath - Zero or more MCCoDContributingCondition Chain ordering rules enforced by invariants on this Composition."/> <comment value="If there are no entries in the list, an emptyReason SHOULD be provided."/> <min value="0"/> <max value="*"/> <base> <path value="Composition.section.entry"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://mccod.w3datanet.com/fhir/StructureDefinition/mccod-cause-of-death-condition"/> <targetProfile value="http://mccod.w3datanet.com/fhir/StructureDefinition/mccod-underlying-cause-of-death"/> <targetProfile value="http://mccod.w3datanet.com/fhir/StructureDefinition/mccod-contributing-condition"/> </type> <condition value="cmp-2"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="WHO-MCCoD"/> <map value="Frame A Part 1 lines a-d + underlying cause + Part 2 conditions"/> </mapping> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"/> </mapping> <mapping> <identity value="cda"/> <map value=".entry"/> </mapping> </element> <element id="Composition.section:frameA.emptyReason"> <path value="Composition.section.emptyReason"/> <short value="Not permitted — Frame A is always mandatory"/> <definition value="If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason."/> <comment value="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."/> <requirements value="Allows capturing things like "none exist" or "not asked" which can be important for most lists."/> <min value="0"/> <max value="0"/> <base> <path value="Composition.section.emptyReason"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <condition value="cmp-2"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="SectionEmptyReason"/> </extension> <strength value="preferred"/> <description value="If a section is empty, why it is empty."/> <valueSet value="http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value=".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]"/> </mapping> <mapping> <identity value="cda"/> <map value="n/a"/> </mapping> </element> <element id="Composition.section:frameA.section"> <path value="Composition.section.section"/> <short value="Nested Section"/> <definition value="A nested sub-section within this section."/> <comment value="Nested sections are primarily used to help human readers navigate to particular portions of the document."/> <min value="0"/> <max value="*"/> <base> <path value="Composition.section.section"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/Composition#Composition.section"/> <condition value="cmp-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"/> </mapping> <mapping> <identity value="cda"/> <map value=".component.section"/> </mapping> </element> <element id="Composition.section:frameBGeneral"> <path value="Composition.section"/> <sliceName value="frameBGeneral"/> <short value="Frame B — General Medical Data (optional)"/> <definition value="Optional section containing surgery, autopsy, manner of death, and external cause data. All entries are Observation resources."/> <min value="0"/> <max value="1"/> <base> <path value="Composition.section"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="cmp-1"/> <severity value="error"/> <human value="A section must contain at least one of text, entries, or sub-sections"/> <expression value="text.exists() or entry.exists() or section.exists()"/> <xpath value="exists(f:text) or exists(f:entry) or exists(f:section)"/> <source value="http://hl7.org/fhir/StructureDefinition/Composition"/> </constraint> <constraint> <key value="cmp-2"/> <severity value="error"/> <human value="A section can only have an emptyReason if it is empty"/> <expression value="emptyReason.empty() or entry.empty()"/> <xpath value="not(exists(f:emptyReason) and exists(f:entry))"/> <source value="http://hl7.org/fhir/StructureDefinition/Composition"/> </constraint> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="WHO-MCCoD"/> <map value="Frame B: Other medical data (surgery, autopsy, manner, external cause)"/> </mapping> <mapping> <identity value="openEHR"/> <map value="death_summary/surgical_history + autopsy + manner_of_death + external_cause"/> </mapping> <mapping> <identity value="rim"/> <map value="./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"/> </mapping> <mapping> <identity value="cda"/> <map value=".component.structuredBody.component.section"/> </mapping> </element> <element id="Composition.section:frameBGeneral.id"> <path value="Composition.section.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Composition.section:frameBGeneral.extension"> <path value="Composition.section.extension"/> <short value="Additional content defined by implementations"/> <definition value="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 manageable, 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."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Composition.section:frameBGeneral.modifierExtension"> <path value="Composition.section.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="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 manageable, 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Composition.section:frameBGeneral.title"> <path value="Composition.section.title"/> <short value="Label for section (e.g. for ToC)"/> <definition value="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."/> <comment value="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."/> <requirements value="Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized."/> <alias value="header"/> <alias value="label"/> <alias value="caption"/> <min value="0"/> <max value="1"/> <base> <path value="Composition.section.title"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="./title"/> </mapping> <mapping> <identity value="cda"/> <map value=".title"/> </mapping> </element> <element id="Composition.section:frameBGeneral.code"> <path value="Composition.section.code"/> <short value="Classification of section (recommended)"/> <definition value="A code identifying the kind of content contained within the section. This must be consistent with the section title."/> <comment value="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."/> <requirements value="Provides computable standardized labels to topics within the document."/> <min value="1"/> <max value="1"/> <base> <path value="Composition.section.code"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <patternCodeableConcept> <coding> <system value="http://mccod.w3datanet.com/fhir/CodeSystem/mccod-section-codes"/> <code value="frame-b-general"/> </coding> </patternCodeableConcept> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="CompositionSectionType"/> </extension> <strength value="example"/> <description value="Classification of a section of a composition/document."/> <valueSet value="http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value="./code"/> </mapping> <mapping> <identity value="cda"/> <map value=".code"/> </mapping> </element> <element id="Composition.section:frameBGeneral.code.id"> <path value="Composition.section.code.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Composition.section:frameBGeneral.code.extension"> <path value="Composition.section.code.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="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 manageable, 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."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Composition.section:frameBGeneral.code.coding"> <path value="Composition.section.code.coding"/> <short value="Code defined by a terminology system"/> <definition value="A reference to a code defined by a terminology system."/> <comment value="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."/> <requirements value="Allows for alternative encodings within a code system, and translations to other code systems."/> <min value="1"/> <max value="1"/> <base> <path value="CodeableConcept.coding"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Coding"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="C*E.1-8, C*E.10-22"/> </mapping> <mapping> <identity value="rim"/> <map value="union(., ./translation)"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"/> </mapping> </element> <element id="Composition.section:frameBGeneral.code.coding.id"> <path value="Composition.section.code.coding.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Composition.section:frameBGeneral.code.coding.extension"> <path value="Composition.section.code.coding.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="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 manageable, 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."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Composition.section:frameBGeneral.code.coding.system"> <path value="Composition.section.code.coding.system"/> <short value="Identity of the terminology system"/> <definition value="The identification of the code system that defines the meaning of the symbol in the code."/> <comment value="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 reference to some definition that establishes the system clearly and unambiguously."/> <requirements value="Need to be unambiguous about the source of the definition of the symbol."/> <min value="0"/> <max value="1"/> <base> <path value="Coding.system"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <patternUri value="http://mccod.w3datanet.com/fhir/CodeSystem/mccod-section-codes"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="C*E.3"/> </mapping> <mapping> <identity value="rim"/> <map value="./codeSystem"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"/> </mapping> </element> <element id="Composition.section:frameBGeneral.code.coding.version"> <path value="Composition.section.code.coding.version"/> <short value="Version of the system - if relevant"/> <definition value="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."/> <comment value="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."/> <min value="0"/> <max value="1"/> <base> <path value="Coding.version"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="C*E.7"/> </mapping> <mapping> <identity value="rim"/> <map value="./codeSystemVersion"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"/> </mapping> </element> <element id="Composition.section:frameBGeneral.code.coding.code"> <path value="Composition.section.code.coding.code"/> <short value="Symbol in syntax defined by the system"/> <definition value="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)."/> <requirements value="Need to refer to a particular code in the system."/> <min value="0"/> <max value="1"/> <base> <path value="Coding.code"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <patternCode value="frame-b-general"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="C*E.1"/> </mapping> <mapping> <identity value="rim"/> <map value="./code"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"/> </mapping> </element> <element id="Composition.section:frameBGeneral.code.coding.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="Composition.section.code.coding.display"/> <short value="Representation defined by the system"/> <definition value="A representation of the meaning of the code in the system, following the rules of the system."/> <requirements value="Need to be able to carry a human-readable meaning of the code for readers that do not know the system."/> <min value="0"/> <max value="1"/> <base> <path value="Coding.display"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <patternString value="Frame B — General Medical Data"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="C*E.2 - but note this is not well followed"/> </mapping> <mapping> <identity value="rim"/> <map value="CV.displayName"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"/> </mapping> </element> <element id="Composition.section:frameBGeneral.code.coding.userSelected"> <path value="Composition.section.code.coding.userSelected"/> <short value="If this coding was chosen directly by the user"/> <definition value="Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays)."/> <comment value="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."/> <requirements value="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."/> <min value="0"/> <max value="1"/> <base> <path value="Coding.userSelected"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="Sometimes implied by being first"/> </mapping> <mapping> <identity value="rim"/> <map value="CD.codingRationale"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]"/> </mapping> </element> <element id="Composition.section:frameBGeneral.code.text"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="Composition.section.code.text"/> <short value="Plain text representation of the concept"/> <definition value="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."/> <comment value="Very often the text is the same as a displayName of one of the codings."/> <requirements value="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."/> <min value="0"/> <max value="1"/> <base> <path value="CodeableConcept.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="C*E.9. But note many systems use C*E.2 for this"/> </mapping> <mapping> <identity value="rim"/> <map value="./originalText[mediaType/code="text/plain"]/data"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"/> </mapping> </element> <element id="Composition.section:frameBGeneral.author"> <path value="Composition.section.author"/> <short value="Who and/or what authored the section"/> <definition value="Identifies who is responsible for the information in this section, not necessarily who typed it in."/> <requirements value="Identifies who is responsible for the content."/> <min value="0"/> <max value="*"/> <base> <path value="Composition.section.author"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device|4.0.1"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient|4.0.1"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="w5"/> <map value="FiveWs.author"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode="AUT"].role[classCode="ASSIGNED"]"/> </mapping> <mapping> <identity value="cda"/> <map value=".author.assignedAuthor"/> </mapping> </element> <element id="Composition.section:frameBGeneral.focus"> <path value="Composition.section.focus"/> <short value="Who/what the section is about, when it is not about the subject of composition"/> <definition value="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)."/> <comment value="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."/> <min value="0"/> <max value="1"/> <base> <path value="Composition.section.focus"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="cda"/> <map value=".subject? (CDA did not differentiate between subject and focus)"/> </mapping> </element> <element id="Composition.section:frameBGeneral.text"> <path value="Composition.section.text"/> <short value="Text summary of the section, for human interpretation"/> <definition value="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."/> <comment value="Document profiles may define what content should be represented in the narrative to ensure clinical safety."/> <min value="0"/> <max value="1"/> <base> <path value="Composition.section.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Narrative"/> </type> <condition value="cmp-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> <mapping> <identity value="cda"/> <map value=".text"/> </mapping> </element> <element id="Composition.section:frameBGeneral.mode"> <path value="Composition.section.mode"/> <short value="working | snapshot | changes"/> <definition value="How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted."/> <comment value="This element is labeled as a modifier because a change list must not be misunderstood as a complete list."/> <requirements value="Sections are used in various ways, and it must be known in what way it is safe to use the entries in them."/> <min value="0"/> <max value="1"/> <base> <path value="Composition.section.mode"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="SectionMode"/> </extension> <strength value="required"/> <description value="The processing mode that applies to this section."/> <valueSet value="http://hl7.org/fhir/ValueSet/list-mode|4.0.1"/> </binding> <mapping> <identity value="w5"/> <map value="FiveWs.class"/> </mapping> <mapping> <identity value="rim"/> <map value=".outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value"/> </mapping> <mapping> <identity value="cda"/> <map value="n/a"/> </mapping> </element> <element id="Composition.section:frameBGeneral.orderedBy"> <path value="Composition.section.orderedBy"/> <short value="Order of section entries"/> <definition value="Specifies the order applied to the items in the section entries."/> <comment value="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."/> <requirements value="Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries."/> <min value="0"/> <max value="1"/> <base> <path value="Composition.section.orderedBy"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="SectionEntryOrder"/> </extension> <strength value="preferred"/> <description value="What order applies to the items in the entry."/> <valueSet value="http://hl7.org/fhir/ValueSet/list-order|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].sequenceNumber > 1"/> </mapping> <mapping> <identity value="cda"/> <map value="n/a"/> </mapping> </element> <element id="Composition.section:frameBGeneral.entry"> <path value="Composition.section.entry"/> <short value="Manner of death, autopsy, surgery, and external cause Observations"/> <definition value="A reference to the actual resource from which the narrative in the section is derived."/> <comment value="If there are no entries in the list, an emptyReason SHOULD be provided."/> <min value="0"/> <max value="*"/> <base> <path value="Composition.section.entry"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://mccod.w3datanet.com/fhir/StructureDefinition/mccod-manner-of-death"/> <targetProfile value="http://mccod.w3datanet.com/fhir/StructureDefinition/mccod-autopsy-performed"/> <targetProfile value="http://mccod.w3datanet.com/fhir/StructureDefinition/mccod-surgery-performed"/> <targetProfile value="http://mccod.w3datanet.com/fhir/StructureDefinition/mccod-injury-incident"/> </type> <condition value="cmp-2"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="WHO-MCCoD"/> <map value="Frame B: surgery, autopsy, manner of death, external cause fields"/> </mapping> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"/> </mapping> <mapping> <identity value="cda"/> <map value=".entry"/> </mapping> </element> <element id="Composition.section:frameBGeneral.emptyReason"> <path value="Composition.section.emptyReason"/> <short value="Why the section is empty"/> <definition value="If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason."/> <comment value="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."/> <requirements value="Allows capturing things like "none exist" or "not asked" which can be important for most lists."/> <min value="0"/> <max value="1"/> <base> <path value="Composition.section.emptyReason"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <condition value="cmp-2"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="SectionEmptyReason"/> </extension> <strength value="preferred"/> <description value="If a section is empty, why it is empty."/> <valueSet value="http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value=".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]"/> </mapping> <mapping> <identity value="cda"/> <map value="n/a"/> </mapping> </element> <element id="Composition.section:frameBGeneral.section"> <path value="Composition.section.section"/> <short value="Nested Section"/> <definition value="A nested sub-section within this section."/> <comment value="Nested sections are primarily used to help human readers navigate to particular portions of the document."/> <min value="0"/> <max value="*"/> <base> <path value="Composition.section.section"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/Composition#Composition.section"/> <condition value="cmp-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"/> </mapping> <mapping> <identity value="cda"/> <map value=".component.section"/> </mapping> </element> <element id="Composition.section:frameBFetalInfant"> <path value="Composition.section"/> <sliceName value="frameBFetalInfant"/> <short value="Frame B — Fetal or Infant Death (optional; SHOULD be present for infant/newborn deaths)"/> <definition value="Optional section for fetal or infant death details. SHOULD be populated when the deceased was an infant aged less than 28 days at death, or when the death was a stillbirth. When intentionally omitted for a non-infant death, emptyReason SHALL be present."/> <min value="0"/> <max value="1"/> <base> <path value="Composition.section"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="cmp-1"/> <severity value="error"/> <human value="A section must contain at least one of text, entries, or sub-sections"/> <expression value="text.exists() or entry.exists() or section.exists()"/> <xpath value="exists(f:text) or exists(f:entry) or exists(f:section)"/> <source value="http://hl7.org/fhir/StructureDefinition/Composition"/> </constraint> <constraint> <key value="cmp-2"/> <severity value="error"/> <human value="A section can only have an emptyReason if it is empty"/> <expression value="emptyReason.empty() or entry.empty()"/> <xpath value="not(exists(f:emptyReason) and exists(f:entry))"/> <source value="http://hl7.org/fhir/StructureDefinition/Composition"/> </constraint> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="WHO-MCCoD"/> <map value="Frame B: Fetal or infant Death section"/> </mapping> <mapping> <identity value="openEHR"/> <map value="death_summary/fetal_or_infant_death"/> </mapping> <mapping> <identity value="rim"/> <map value="./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"/> </mapping> <mapping> <identity value="cda"/> <map value=".component.structuredBody.component.section"/> </mapping> </element> <element id="Composition.section:frameBFetalInfant.id"> <path value="Composition.section.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Composition.section:frameBFetalInfant.extension"> <path value="Composition.section.extension"/> <short value="Additional content defined by implementations"/> <definition value="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 manageable, 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."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Composition.section:frameBFetalInfant.modifierExtension"> <path value="Composition.section.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="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 manageable, 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Composition.section:frameBFetalInfant.title"> <path value="Composition.section.title"/> <short value="Label for section (e.g. for ToC)"/> <definition value="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."/> <comment value="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."/> <requirements value="Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized."/> <alias value="header"/> <alias value="label"/> <alias value="caption"/> <min value="0"/> <max value="1"/> <base> <path value="Composition.section.title"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="./title"/> </mapping> <mapping> <identity value="cda"/> <map value=".title"/> </mapping> </element> <element id="Composition.section:frameBFetalInfant.code"> <path value="Composition.section.code"/> <short value="Classification of section (recommended)"/> <definition value="A code identifying the kind of content contained within the section. This must be consistent with the section title."/> <comment value="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."/> <requirements value="Provides computable standardized labels to topics within the document."/> <min value="1"/> <max value="1"/> <base> <path value="Composition.section.code"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <patternCodeableConcept> <coding> <system value="http://mccod.w3datanet.com/fhir/CodeSystem/mccod-section-codes"/> <code value="frame-b-fetal-infant"/> </coding> </patternCodeableConcept> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="CompositionSectionType"/> </extension> <strength value="example"/> <description value="Classification of a section of a composition/document."/> <valueSet value="http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value="./code"/> </mapping> <mapping> <identity value="cda"/> <map value=".code"/> </mapping> </element> <element id="Composition.section:frameBFetalInfant.code.id"> <path value="Composition.section.code.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Composition.section:frameBFetalInfant.code.extension"> <path value="Composition.section.code.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="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 manageable, 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."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Composition.section:frameBFetalInfant.code.coding"> <path value="Composition.section.code.coding"/> <short value="Code defined by a terminology system"/> <definition value="A reference to a code defined by a terminology system."/> <comment value="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."/> <requirements value="Allows for alternative encodings within a code system, and translations to other code systems."/> <min value="1"/> <max value="1"/> <base> <path value="CodeableConcept.coding"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Coding"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="C*E.1-8, C*E.10-22"/> </mapping> <mapping> <identity value="rim"/> <map value="union(., ./translation)"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"/> </mapping> </element> <element id="Composition.section:frameBFetalInfant.code.coding.id"> <path value="Composition.section.code.coding.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Composition.section:frameBFetalInfant.code.coding.extension"> <path value="Composition.section.code.coding.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="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 manageable, 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."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Composition.section:frameBFetalInfant.code.coding.system"> <path value="Composition.section.code.coding.system"/> <short value="Identity of the terminology system"/> <definition value="The identification of the code system that defines the meaning of the symbol in the code."/> <comment value="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 reference to some definition that establishes the system clearly and unambiguously."/> <requirements value="Need to be unambiguous about the source of the definition of the symbol."/> <min value="0"/> <max value="1"/> <base> <path value="Coding.system"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <patternUri value="http://mccod.w3datanet.com/fhir/CodeSystem/mccod-section-codes"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="C*E.3"/> </mapping> <mapping> <identity value="rim"/> <map value="./codeSystem"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"/> </mapping> </element> <element id="Composition.section:frameBFetalInfant.code.coding.version"> <path value="Composition.section.code.coding.version"/> <short value="Version of the system - if relevant"/> <definition value="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."/> <comment value="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."/> <min value="0"/> <max value="1"/> <base> <path value="Coding.version"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="C*E.7"/> </mapping> <mapping> <identity value="rim"/> <map value="./codeSystemVersion"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"/> </mapping> </element> <element id="Composition.section:frameBFetalInfant.code.coding.code"> <path value="Composition.section.code.coding.code"/> <short value="Symbol in syntax defined by the system"/> <definition value="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)."/> <requirements value="Need to refer to a particular code in the system."/> <min value="0"/> <max value="1"/> <base> <path value="Coding.code"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <patternCode value="frame-b-fetal-infant"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="C*E.1"/> </mapping> <mapping> <identity value="rim"/> <map value="./code"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"/> </mapping> </element> <element id="Composition.section:frameBFetalInfant.code.coding.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="Composition.section.code.coding.display"/> <short value="Representation defined by the system"/> <definition value="A representation of the meaning of the code in the system, following the rules of the system."/> <requirements value="Need to be able to carry a human-readable meaning of the code for readers that do not know the system."/> <min value="0"/> <max value="1"/> <base> <path value="Coding.display"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <patternString value="Frame B — Fetal or Infant Death"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="C*E.2 - but note this is not well followed"/> </mapping> <mapping> <identity value="rim"/> <map value="CV.displayName"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"/> </mapping> </element> <element id="Composition.section:frameBFetalInfant.code.coding.userSelected"> <path value="Composition.section.code.coding.userSelected"/> <short value="If this coding was chosen directly by the user"/> <definition value="Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays)."/> <comment value="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."/> <requirements value="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."/> <min value="0"/> <max value="1"/> <base> <path value="Coding.userSelected"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="Sometimes implied by being first"/> </mapping> <mapping> <identity value="rim"/> <map value="CD.codingRationale"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]"/> </mapping> </element> <element id="Composition.section:frameBFetalInfant.code.text"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="Composition.section.code.text"/> <short value="Plain text representation of the concept"/> <definition value="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."/> <comment value="Very often the text is the same as a displayName of one of the codings."/> <requirements value="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."/> <min value="0"/> <max value="1"/> <base> <path value="CodeableConcept.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="C*E.9. But note many systems use C*E.2 for this"/> </mapping> <mapping> <identity value="rim"/> <map value="./originalText[mediaType/code="text/plain"]/data"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"/> </mapping> </element> <element id="Composition.section:frameBFetalInfant.author"> <path value="Composition.section.author"/> <short value="Who and/or what authored the section"/> <definition value="Identifies who is responsible for the information in this section, not necessarily who typed it in."/> <requirements value="Identifies who is responsible for the content."/> <min value="0"/> <max value="*"/> <base> <path value="Composition.section.author"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device|4.0.1"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient|4.0.1"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="w5"/> <map value="FiveWs.author"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode="AUT"].role[classCode="ASSIGNED"]"/> </mapping> <mapping> <identity value="cda"/> <map value=".author.assignedAuthor"/> </mapping> </element> <element id="Composition.section:frameBFetalInfant.focus"> <path value="Composition.section.focus"/> <short value="Who/what the section is about, when it is not about the subject of composition"/> <definition value="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)."/> <comment value="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."/> <min value="0"/> <max value="1"/> <base> <path value="Composition.section.focus"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="cda"/> <map value=".subject? (CDA did not differentiate between subject and focus)"/> </mapping> </element> <element id="Composition.section:frameBFetalInfant.text"> <path value="Composition.section.text"/> <short value="Text summary of the section, for human interpretation"/> <definition value="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."/> <comment value="Document profiles may define what content should be represented in the narrative to ensure clinical safety."/> <min value="0"/> <max value="1"/> <base> <path value="Composition.section.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Narrative"/> </type> <condition value="cmp-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> <mapping> <identity value="cda"/> <map value=".text"/> </mapping> </element> <element id="Composition.section:frameBFetalInfant.mode"> <path value="Composition.section.mode"/> <short value="working | snapshot | changes"/> <definition value="How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted."/> <comment value="This element is labeled as a modifier because a change list must not be misunderstood as a complete list."/> <requirements value="Sections are used in various ways, and it must be known in what way it is safe to use the entries in them."/> <min value="0"/> <max value="1"/> <base> <path value="Composition.section.mode"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="SectionMode"/> </extension> <strength value="required"/> <description value="The processing mode that applies to this section."/> <valueSet value="http://hl7.org/fhir/ValueSet/list-mode|4.0.1"/> </binding> <mapping> <identity value="w5"/> <map value="FiveWs.class"/> </mapping> <mapping> <identity value="rim"/> <map value=".outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value"/> </mapping> <mapping> <identity value="cda"/> <map value="n/a"/> </mapping> </element> <element id="Composition.section:frameBFetalInfant.orderedBy"> <path value="Composition.section.orderedBy"/> <short value="Order of section entries"/> <definition value="Specifies the order applied to the items in the section entries."/> <comment value="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."/> <requirements value="Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries."/> <min value="0"/> <max value="1"/> <base> <path value="Composition.section.orderedBy"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="SectionEntryOrder"/> </extension> <strength value="preferred"/> <description value="What order applies to the items in the entry."/> <valueSet value="http://hl7.org/fhir/ValueSet/list-order|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].sequenceNumber > 1"/> </mapping> <mapping> <identity value="cda"/> <map value="n/a"/> </mapping> </element> <element id="Composition.section:frameBFetalInfant.entry"> <path value="Composition.section.entry"/> <short value="MCCoDFetalOrInfantDeath Observation"/> <definition value="A reference to the actual resource from which the narrative in the section is derived."/> <comment value="If there are no entries in the list, an emptyReason SHOULD be provided."/> <min value="0"/> <max value="*"/> <base> <path value="Composition.section.entry"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://mccod.w3datanet.com/fhir/StructureDefinition/mccod-fetal-or-infant-death"/> </type> <condition value="cmp-2"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="WHO-MCCoD"/> <map value="Frame B: Fetal or infant Death fields"/> </mapping> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"/> </mapping> <mapping> <identity value="cda"/> <map value=".entry"/> </mapping> </element> <element id="Composition.section:frameBFetalInfant.emptyReason"> <path value="Composition.section.emptyReason"/> <short value="Why the section is empty"/> <definition value="If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason."/> <comment value="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."/> <requirements value="Allows capturing things like "none exist" or "not asked" which can be important for most lists."/> <min value="0"/> <max value="1"/> <base> <path value="Composition.section.emptyReason"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <condition value="cmp-2"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="SectionEmptyReason"/> </extension> <strength value="preferred"/> <description value="If a section is empty, why it is empty."/> <valueSet value="http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value=".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]"/> </mapping> <mapping> <identity value="cda"/> <map value="n/a"/> </mapping> </element> <element id="Composition.section:frameBFetalInfant.section"> <path value="Composition.section.section"/> <short value="Nested Section"/> <definition value="A nested sub-section within this section."/> <comment value="Nested sections are primarily used to help human readers navigate to particular portions of the document."/> <min value="0"/> <max value="*"/> <base> <path value="Composition.section.section"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/Composition#Composition.section"/> <condition value="cmp-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"/> </mapping> <mapping> <identity value="cda"/> <map value=".component.section"/> </mapping> </element> <element id="Composition.section:frameBPregnancy"> <path value="Composition.section"/> <sliceName value="frameBPregnancy"/> <short value="Frame B — Women of Reproductive Age (optional; SHOULD be present for female aged 15-49)"/> <definition value="Optional section for pregnancy status of women of reproductive age. SHOULD be populated when the deceased was female and aged 15-49 years at time of death. When intentionally omitted, emptyReason SHALL be present."/> <min value="0"/> <max value="1"/> <base> <path value="Composition.section"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="cmp-1"/> <severity value="error"/> <human value="A section must contain at least one of text, entries, or sub-sections"/> <expression value="text.exists() or entry.exists() or section.exists()"/> <xpath value="exists(f:text) or exists(f:entry) or exists(f:section)"/> <source value="http://hl7.org/fhir/StructureDefinition/Composition"/> </constraint> <constraint> <key value="cmp-2"/> <severity value="error"/> <human value="A section can only have an emptyReason if it is empty"/> <expression value="emptyReason.empty() or entry.empty()"/> <xpath value="not(exists(f:emptyReason) and exists(f:entry))"/> <source value="http://hl7.org/fhir/StructureDefinition/Composition"/> </constraint> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="WHO-MCCoD"/> <map value="Frame B: For women of reproductive age section"/> </mapping> <mapping> <identity value="openEHR"/> <map value="death_summary/pregnancy_status"/> </mapping> <mapping> <identity value="rim"/> <map value="./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"/> </mapping> <mapping> <identity value="cda"/> <map value=".component.structuredBody.component.section"/> </mapping> </element> <element id="Composition.section:frameBPregnancy.id"> <path value="Composition.section.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Composition.section:frameBPregnancy.extension"> <path value="Composition.section.extension"/> <short value="Additional content defined by implementations"/> <definition value="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 manageable, 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."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Composition.section:frameBPregnancy.modifierExtension"> <path value="Composition.section.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="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 manageable, 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Composition.section:frameBPregnancy.title"> <path value="Composition.section.title"/> <short value="Label for section (e.g. for ToC)"/> <definition value="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."/> <comment value="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."/> <requirements value="Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized."/> <alias value="header"/> <alias value="label"/> <alias value="caption"/> <min value="0"/> <max value="1"/> <base> <path value="Composition.section.title"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="./title"/> </mapping> <mapping> <identity value="cda"/> <map value=".title"/> </mapping> </element> <element id="Composition.section:frameBPregnancy.code"> <path value="Composition.section.code"/> <short value="Classification of section (recommended)"/> <definition value="A code identifying the kind of content contained within the section. This must be consistent with the section title."/> <comment value="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."/> <requirements value="Provides computable standardized labels to topics within the document."/> <min value="1"/> <max value="1"/> <base> <path value="Composition.section.code"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <patternCodeableConcept> <coding> <system value="http://mccod.w3datanet.com/fhir/CodeSystem/mccod-section-codes"/> <code value="frame-b-pregnancy"/> </coding> </patternCodeableConcept> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="CompositionSectionType"/> </extension> <strength value="example"/> <description value="Classification of a section of a composition/document."/> <valueSet value="http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value="./code"/> </mapping> <mapping> <identity value="cda"/> <map value=".code"/> </mapping> </element> <element id="Composition.section:frameBPregnancy.code.id"> <path value="Composition.section.code.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Composition.section:frameBPregnancy.code.extension"> <path value="Composition.section.code.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="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 manageable, 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."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Composition.section:frameBPregnancy.code.coding"> <path value="Composition.section.code.coding"/> <short value="Code defined by a terminology system"/> <definition value="A reference to a code defined by a terminology system."/> <comment value="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."/> <requirements value="Allows for alternative encodings within a code system, and translations to other code systems."/> <min value="1"/> <max value="1"/> <base> <path value="CodeableConcept.coding"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Coding"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="C*E.1-8, C*E.10-22"/> </mapping> <mapping> <identity value="rim"/> <map value="union(., ./translation)"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"/> </mapping> </element> <element id="Composition.section:frameBPregnancy.code.coding.id"> <path value="Composition.section.code.coding.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Composition.section:frameBPregnancy.code.coding.extension"> <path value="Composition.section.code.coding.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="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 manageable, 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."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Composition.section:frameBPregnancy.code.coding.system"> <path value="Composition.section.code.coding.system"/> <short value="Identity of the terminology system"/> <definition value="The identification of the code system that defines the meaning of the symbol in the code."/> <comment value="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 reference to some definition that establishes the system clearly and unambiguously."/> <requirements value="Need to be unambiguous about the source of the definition of the symbol."/> <min value="0"/> <max value="1"/> <base> <path value="Coding.system"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <patternUri value="http://mccod.w3datanet.com/fhir/CodeSystem/mccod-section-codes"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="C*E.3"/> </mapping> <mapping> <identity value="rim"/> <map value="./codeSystem"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"/> </mapping> </element> <element id="Composition.section:frameBPregnancy.code.coding.version"> <path value="Composition.section.code.coding.version"/> <short value="Version of the system - if relevant"/> <definition value="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."/> <comment value="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."/> <min value="0"/> <max value="1"/> <base> <path value="Coding.version"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="C*E.7"/> </mapping> <mapping> <identity value="rim"/> <map value="./codeSystemVersion"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"/> </mapping> </element> <element id="Composition.section:frameBPregnancy.code.coding.code"> <path value="Composition.section.code.coding.code"/> <short value="Symbol in syntax defined by the system"/> <definition value="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)."/> <requirements value="Need to refer to a particular code in the system."/> <min value="0"/> <max value="1"/> <base> <path value="Coding.code"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <patternCode value="frame-b-pregnancy"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="C*E.1"/> </mapping> <mapping> <identity value="rim"/> <map value="./code"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"/> </mapping> </element> <element id="Composition.section:frameBPregnancy.code.coding.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="Composition.section.code.coding.display"/> <short value="Representation defined by the system"/> <definition value="A representation of the meaning of the code in the system, following the rules of the system."/> <requirements value="Need to be able to carry a human-readable meaning of the code for readers that do not know the system."/> <min value="0"/> <max value="1"/> <base> <path value="Coding.display"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <patternString value="Frame B — Women of Reproductive Age"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="C*E.2 - but note this is not well followed"/> </mapping> <mapping> <identity value="rim"/> <map value="CV.displayName"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"/> </mapping> </element> <element id="Composition.section:frameBPregnancy.code.coding.userSelected"> <path value="Composition.section.code.coding.userSelected"/> <short value="If this coding was chosen directly by the user"/> <definition value="Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays)."/> <comment value="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."/> <requirements value="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."/> <min value="0"/> <max value="1"/> <base> <path value="Coding.userSelected"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="Sometimes implied by being first"/> </mapping> <mapping> <identity value="rim"/> <map value="CD.codingRationale"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]"/> </mapping> </element> <element id="Composition.section:frameBPregnancy.code.text"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="Composition.section.code.text"/> <short value="Plain text representation of the concept"/> <definition value="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."/> <comment value="Very often the text is the same as a displayName of one of the codings."/> <requirements value="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."/> <min value="0"/> <max value="1"/> <base> <path value="CodeableConcept.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="C*E.9. But note many systems use C*E.2 for this"/> </mapping> <mapping> <identity value="rim"/> <map value="./originalText[mediaType/code="text/plain"]/data"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"/> </mapping> </element> <element id="Composition.section:frameBPregnancy.author"> <path value="Composition.section.author"/> <short value="Who and/or what authored the section"/> <definition value="Identifies who is responsible for the information in this section, not necessarily who typed it in."/> <requirements value="Identifies who is responsible for the content."/> <min value="0"/> <max value="*"/> <base> <path value="Composition.section.author"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device|4.0.1"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient|4.0.1"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="w5"/> <map value="FiveWs.author"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode="AUT"].role[classCode="ASSIGNED"]"/> </mapping> <mapping> <identity value="cda"/> <map value=".author.assignedAuthor"/> </mapping> </element> <element id="Composition.section:frameBPregnancy.focus"> <path value="Composition.section.focus"/> <short value="Who/what the section is about, when it is not about the subject of composition"/> <definition value="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)."/> <comment value="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."/> <min value="0"/> <max value="1"/> <base> <path value="Composition.section.focus"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="cda"/> <map value=".subject? (CDA did not differentiate between subject and focus)"/> </mapping> </element> <element id="Composition.section:frameBPregnancy.text"> <path value="Composition.section.text"/> <short value="Text summary of the section, for human interpretation"/> <definition value="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."/> <comment value="Document profiles may define what content should be represented in the narrative to ensure clinical safety."/> <min value="0"/> <max value="1"/> <base> <path value="Composition.section.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Narrative"/> </type> <condition value="cmp-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> <mapping> <identity value="cda"/> <map value=".text"/> </mapping> </element> <element id="Composition.section:frameBPregnancy.mode"> <path value="Composition.section.mode"/> <short value="working | snapshot | changes"/> <definition value="How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted."/> <comment value="This element is labeled as a modifier because a change list must not be misunderstood as a complete list."/> <requirements value="Sections are used in various ways, and it must be known in what way it is safe to use the entries in them."/> <min value="0"/> <max value="1"/> <base> <path value="Composition.section.mode"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="SectionMode"/> </extension> <strength value="required"/> <description value="The processing mode that applies to this section."/> <valueSet value="http://hl7.org/fhir/ValueSet/list-mode|4.0.1"/> </binding> <mapping> <identity value="w5"/> <map value="FiveWs.class"/> </mapping> <mapping> <identity value="rim"/> <map value=".outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value"/> </mapping> <mapping> <identity value="cda"/> <map value="n/a"/> </mapping> </element> <element id="Composition.section:frameBPregnancy.orderedBy"> <path value="Composition.section.orderedBy"/> <short value="Order of section entries"/> <definition value="Specifies the order applied to the items in the section entries."/> <comment value="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."/> <requirements value="Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries."/> <min value="0"/> <max value="1"/> <base> <path value="Composition.section.orderedBy"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="SectionEntryOrder"/> </extension> <strength value="preferred"/> <description value="What order applies to the items in the entry."/> <valueSet value="http://hl7.org/fhir/ValueSet/list-order|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].sequenceNumber > 1"/> </mapping> <mapping> <identity value="cda"/> <map value="n/a"/> </mapping> </element> <element id="Composition.section:frameBPregnancy.entry"> <path value="Composition.section.entry"/> <short value="MCCoDPregnancyStatus Observation"/> <definition value="A reference to the actual resource from which the narrative in the section is derived."/> <comment value="If there are no entries in the list, an emptyReason SHOULD be provided."/> <min value="0"/> <max value="*"/> <base> <path value="Composition.section.entry"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://mccod.w3datanet.com/fhir/StructureDefinition/mccod-pregnancy-status"/> </type> <condition value="cmp-2"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="WHO-MCCoD"/> <map value="Frame B: women of reproductive age fields"/> </mapping> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"/> </mapping> <mapping> <identity value="cda"/> <map value=".entry"/> </mapping> </element> <element id="Composition.section:frameBPregnancy.emptyReason"> <path value="Composition.section.emptyReason"/> <short value="Why the section is empty"/> <definition value="If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason."/> <comment value="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."/> <requirements value="Allows capturing things like "none exist" or "not asked" which can be important for most lists."/> <min value="0"/> <max value="1"/> <base> <path value="Composition.section.emptyReason"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <condition value="cmp-2"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="SectionEmptyReason"/> </extension> <strength value="preferred"/> <description value="If a section is empty, why it is empty."/> <valueSet value="http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value=".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]"/> </mapping> <mapping> <identity value="cda"/> <map value="n/a"/> </mapping> </element> <element id="Composition.section:frameBPregnancy.section"> <path value="Composition.section.section"/> <short value="Nested Section"/> <definition value="A nested sub-section within this section."/> <comment value="Nested sections are primarily used to help human readers navigate to particular portions of the document."/> <min value="0"/> <max value="*"/> <base> <path value="Composition.section.section"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/Composition#Composition.section"/> <condition value="cmp-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"/> </mapping> <mapping> <identity value="cda"/> <map value=".component.section"/> </mapping> </element> </snapshot> <differential> <element id="Composition"> <path value="Composition"/> </element> <element id="Composition.status"> <path value="Composition.status"/> <short value="preliminary | final | amended"/> <definition value="preliminary: certificate is being completed but not yet signed. final: certificate has been certified and signed by practitioner. amended: certificate has been corrected after initial certification."/> <mustSupport value="true"/> <mapping> <identity value="WHO-MCCoD"/> <map value="N/A — certificate workflow status"/> </mapping> </element> <element id="Composition.type"> <path value="Composition.type"/> <short value="LOINC 64297-5: Death certificate"/> <patternCodeableConcept> <coding> <system value="http://loinc.org"/> <code value="64297-5"/> </coding> </patternCodeableConcept> <mustSupport value="true"/> <mapping> <identity value="WHO-MCCoD"/> <map value="WHO Medical Certificate of Cause of Death"/> </mapping> <mapping> <identity value="openEHR"/> <map value="death_summary composition type"/> </mapping> </element> <element id="Composition.subject"> <path value="Composition.subject"/> <short value="The deceased patient"/> <definition value="Reference to the Patient resource representing the deceased. Unconstrained base FHIR Patient to allow member countries to extend per national requirements (e.g. national ID systems, address formats, religion, occupation fields from the MCCoD form)."/> <min value="1"/> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> </type> <mustSupport value="true"/> <mapping> <identity value="WHO-MCCoD"/> <map value="Patient Name, Father's/Mother's Name, Address, Sex, Religion, Occupation, Date of Birth, NID fields"/> </mapping> <mapping> <identity value="openEHR"/> <map value="EHR subject"/> </mapping> </element> <element id="Composition.date"> <path value="Composition.date"/> <short value="Date of certification"/> <definition value="The date on which the certificate was completed and signed by the certifying practitioner."/> <mustSupport value="true"/> <mapping> <identity value="WHO-MCCoD"/> <map value="Signature with Date field"/> </mapping> <mapping> <identity value="openEHR"/> <map value="composition/context/start_time"/> </mapping> </element> <element id="Composition.author"> <path value="Composition.author"/> <short value="Certifying practitioner"/> <definition value="The practitioner who certified the cause of death and signed the certificate. References base FHIR Practitioner or PractitionerRole without further constraint to allow member countries to extend per national requirements (e.g. BMDC registration number in Bangladesh)."/> <max value="1"/> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/> </type> <mustSupport value="true"/> <mapping> <identity value="WHO-MCCoD"/> <map value="Name, Position, BMDC Reg. No. fields"/> </mapping> <mapping> <identity value="openEHR"/> <map value="death_summary/composer"/> </mapping> </element> <element id="Composition.title"> <path value="Composition.title"/> <short value="Fixed: 'Medical Certificate of Cause of Death'"/> <patternString value="Medical Certificate of Cause of Death"/> <mustSupport value="true"/> </element> <element id="Composition.custodian"> <path value="Composition.custodian"/> <short value="Certifying organization (hospital or institution)"/> <definition value="The organization responsible for the certificate. References base FHIR Organization without further constraint. Corresponds to the Hospital Name, Hospital Code No., Ward No., and Admission Reg. No. fields on the MCCoD form."/> <min value="1"/> <mustSupport value="true"/> <mapping> <identity value="WHO-MCCoD"/> <map value="Hospital Name, Hospital Code No., Ward No., Bangladesh Form No."/> </mapping> <mapping> <identity value="openEHR"/> <map value="composition/context/health_care_facility"/> </mapping> </element> <element id="Composition.section"> <path value="Composition.section"/> <slicing> <discriminator> <type value="value"/> <path value="code"/> </discriminator> <description value="MCCoD Frame A and Frame B sections"/> <ordered value="false"/> <rules value="open"/> </slicing> <min value="1"/> </element> <element id="Composition.section:frameA"> <path value="Composition.section"/> <sliceName value="frameA"/> <short value="Frame A — Cause of Death (mandatory)"/> <definition value="Mandatory section containing the causal chain of death (lines a-d), the underlying cause of death, and other significant contributing conditions (Part 2). All entries are Condition resources profiled according to this IG."/> <min value="1"/> <max value="1"/> <mustSupport value="true"/> <mapping> <identity value="WHO-MCCoD"/> <map value="Frame A: Medical data Part 1 and 2"/> </mapping> <mapping> <identity value="openEHR"/> <map value="death_summary/cause_of_death + contributing_factors"/> </mapping> </element> <element id="Composition.section:frameA.code"> <path value="Composition.section.code"/> <short value="LOINC 79378-6: Cause of death"/> <min value="1"/> <patternCodeableConcept> <coding> <system value="http://loinc.org"/> <code value="79378-6"/> </coding> </patternCodeableConcept> </element> <element id="Composition.section:frameA.entry"> <path value="Composition.section.entry"/> <short value="Causal chain Conditions, underlying cause, and contributing conditions"/> <definition value="SHALL contain: - Exactly one MCCoDCauseOfDeathCondition with linePosition=a - Zero or one MCCoDCauseOfDeathCondition with linePosition=b - Zero or one MCCoDCauseOfDeathCondition with linePosition=c - Zero or one MCCoDCauseOfDeathCondition with linePosition=d - Exactly one MCCoDUnderlyingCauseOfDeath - Zero or more MCCoDContributingCondition Chain ordering rules enforced by invariants on this Composition."/> <type> <code value="Reference"/> <targetProfile value="http://mccod.w3datanet.com/fhir/StructureDefinition/mccod-cause-of-death-condition"/> <targetProfile value="http://mccod.w3datanet.com/fhir/StructureDefinition/mccod-underlying-cause-of-death"/> <targetProfile value="http://mccod.w3datanet.com/fhir/StructureDefinition/mccod-contributing-condition"/> </type> <mustSupport value="true"/> <mapping> <identity value="WHO-MCCoD"/> <map value="Frame A Part 1 lines a-d + underlying cause + Part 2 conditions"/> </mapping> </element> <element id="Composition.section:frameA.emptyReason"> <path value="Composition.section.emptyReason"/> <short value="Not permitted — Frame A is always mandatory"/> <max value="0"/> </element> <element id="Composition.section:frameBGeneral"> <path value="Composition.section"/> <sliceName value="frameBGeneral"/> <short value="Frame B — General Medical Data (optional)"/> <definition value="Optional section containing surgery, autopsy, manner of death, and external cause data. All entries are Observation resources."/> <min value="0"/> <max value="1"/> <mustSupport value="true"/> <mapping> <identity value="WHO-MCCoD"/> <map value="Frame B: Other medical data (surgery, autopsy, manner, external cause)"/> </mapping> <mapping> <identity value="openEHR"/> <map value="death_summary/surgical_history + autopsy + manner_of_death + external_cause"/> </mapping> </element> <element id="Composition.section:frameBGeneral.code"> <path value="Composition.section.code"/> <min value="1"/> <patternCodeableConcept> <coding> <system value="http://mccod.w3datanet.com/fhir/CodeSystem/mccod-section-codes"/> <code value="frame-b-general"/> </coding> </patternCodeableConcept> </element> <element id="Composition.section:frameBGeneral.code.coding"> <path value="Composition.section.code.coding"/> <min value="1"/> <max value="1"/> </element> <element id="Composition.section:frameBGeneral.code.coding.system"> <path value="Composition.section.code.coding.system"/> <patternUri value="http://mccod.w3datanet.com/fhir/CodeSystem/mccod-section-codes"/> </element> <element id="Composition.section:frameBGeneral.code.coding.code"> <path value="Composition.section.code.coding.code"/> <patternCode value="frame-b-general"/> </element> <element id="Composition.section:frameBGeneral.code.coding.display"> <path value="Composition.section.code.coding.display"/> <patternString value="Frame B — General Medical Data"/> </element> <element id="Composition.section:frameBGeneral.entry"> <path value="Composition.section.entry"/> <short value="Manner of death, autopsy, surgery, and external cause Observations"/> <type> <code value="Reference"/> <targetProfile value="http://mccod.w3datanet.com/fhir/StructureDefinition/mccod-manner-of-death"/> <targetProfile value="http://mccod.w3datanet.com/fhir/StructureDefinition/mccod-autopsy-performed"/> <targetProfile value="http://mccod.w3datanet.com/fhir/StructureDefinition/mccod-surgery-performed"/> <targetProfile value="http://mccod.w3datanet.com/fhir/StructureDefinition/mccod-injury-incident"/> </type> <mustSupport value="true"/> <mapping> <identity value="WHO-MCCoD"/> <map value="Frame B: surgery, autopsy, manner of death, external cause fields"/> </mapping> </element> <element id="Composition.section:frameBFetalInfant"> <path value="Composition.section"/> <sliceName value="frameBFetalInfant"/> <short value="Frame B — Fetal or Infant Death (optional; SHOULD be present for infant/newborn deaths)"/> <definition value="Optional section for fetal or infant death details. SHOULD be populated when the deceased was an infant aged less than 28 days at death, or when the death was a stillbirth. When intentionally omitted for a non-infant death, emptyReason SHALL be present."/> <min value="0"/> <max value="1"/> <mustSupport value="true"/> <mapping> <identity value="WHO-MCCoD"/> <map value="Frame B: Fetal or infant Death section"/> </mapping> <mapping> <identity value="openEHR"/> <map value="death_summary/fetal_or_infant_death"/> </mapping> </element> <element id="Composition.section:frameBFetalInfant.code"> <path value="Composition.section.code"/> <min value="1"/> <patternCodeableConcept> <coding> <system value="http://mccod.w3datanet.com/fhir/CodeSystem/mccod-section-codes"/> <code value="frame-b-fetal-infant"/> </coding> </patternCodeableConcept> </element> <element id="Composition.section:frameBFetalInfant.code.coding"> <path value="Composition.section.code.coding"/> <min value="1"/> <max value="1"/> </element> <element id="Composition.section:frameBFetalInfant.code.coding.system"> <path value="Composition.section.code.coding.system"/> <patternUri value="http://mccod.w3datanet.com/fhir/CodeSystem/mccod-section-codes"/> </element> <element id="Composition.section:frameBFetalInfant.code.coding.code"> <path value="Composition.section.code.coding.code"/> <patternCode value="frame-b-fetal-infant"/> </element> <element id="Composition.section:frameBFetalInfant.code.coding.display"> <path value="Composition.section.code.coding.display"/> <patternString value="Frame B — Fetal or Infant Death"/> </element> <element id="Composition.section:frameBFetalInfant.entry"> <path value="Composition.section.entry"/> <short value="MCCoDFetalOrInfantDeath Observation"/> <type> <code value="Reference"/> <targetProfile value="http://mccod.w3datanet.com/fhir/StructureDefinition/mccod-fetal-or-infant-death"/> </type> <mustSupport value="true"/> <mapping> <identity value="WHO-MCCoD"/> <map value="Frame B: Fetal or infant Death fields"/> </mapping> </element> <element id="Composition.section:frameBPregnancy"> <path value="Composition.section"/> <sliceName value="frameBPregnancy"/> <short value="Frame B — Women of Reproductive Age (optional; SHOULD be present for female aged 15-49)"/> <definition value="Optional section for pregnancy status of women of reproductive age. SHOULD be populated when the deceased was female and aged 15-49 years at time of death. When intentionally omitted, emptyReason SHALL be present."/> <min value="0"/> <max value="1"/> <mustSupport value="true"/> <mapping> <identity value="WHO-MCCoD"/> <map value="Frame B: For women of reproductive age section"/> </mapping> <mapping> <identity value="openEHR"/> <map value="death_summary/pregnancy_status"/> </mapping> </element> <element id="Composition.section:frameBPregnancy.code"> <path value="Composition.section.code"/> <min value="1"/> <patternCodeableConcept> <coding> <system value="http://mccod.w3datanet.com/fhir/CodeSystem/mccod-section-codes"/> <code value="frame-b-pregnancy"/> </coding> </patternCodeableConcept> </element> <element id="Composition.section:frameBPregnancy.code.coding"> <path value="Composition.section.code.coding"/> <min value="1"/> <max value="1"/> </element> <element id="Composition.section:frameBPregnancy.code.coding.system"> <path value="Composition.section.code.coding.system"/> <patternUri value="http://mccod.w3datanet.com/fhir/CodeSystem/mccod-section-codes"/> </element> <element id="Composition.section:frameBPregnancy.code.coding.code"> <path value="Composition.section.code.coding.code"/> <patternCode value="frame-b-pregnancy"/> </element> <element id="Composition.section:frameBPregnancy.code.coding.display"> <path value="Composition.section.code.coding.display"/> <patternString value="Frame B — Women of Reproductive Age"/> </element> <element id="Composition.section:frameBPregnancy.entry"> <path value="Composition.section.entry"/> <short value="MCCoDPregnancyStatus Observation"/> <type> <code value="Reference"/> <targetProfile value="http://mccod.w3datanet.com/fhir/StructureDefinition/mccod-pregnancy-status"/> </type> <mustSupport value="true"/> <mapping> <identity value="WHO-MCCoD"/> <map value="Frame B: women of reproductive age fields"/> </mapping> </element> </differential> </StructureDefinition>