This page is part of the FHIR Specification (v1.4.0: STU 3 Ballot 3). The current version which supercedes this version is 4.0.1. For a full list of available versions, see the Directory of published versions
Generated Questionnaire for ccda-us-realm-header-composition
{ "resourceType": "Questionnaire", "id": "qs1", "contained": [ { "resourceType": "ValueSet", "id": "vs2", "name": "Type options for Composition.attester.party", "status": "active", "description": "Type options for Composition.attester.party", "expansion": { "identifier": "urn:uuid:86cd2d2b-e8c8-44b5-8934-5359b8e9563a", "timestamp": "2016-03-31T08:11:31+11:00", "contains": [ { "system": "http://hl7.org/fhir/resource-types", "code": "Patient", "display": "Patient" }, { "system": "http://hl7.org/fhir/resource-types", "code": "Practitioner", "display": "Practitioner" }, { "system": "http://hl7.org/fhir/resource-types", "code": "Organization", "display": "Organization" } ] } }, { "resourceType": "ValueSet", "id": "vs3", "name": "Type options for Composition.attester.party", "status": "active", "description": "Type options for Composition.attester.party", "expansion": { "identifier": "urn:uuid:08516ecc-5302-43ad-819f-eed9ee3b52eb", "timestamp": "2016-03-31T08:11:31+11:00", "contains": [ { "system": "http://hl7.org/fhir/resource-types", "code": "Patient", "display": "Patient" }, { "system": "http://hl7.org/fhir/resource-types", "code": "Practitioner", "display": "Practitioner" }, { "system": "http://hl7.org/fhir/resource-types", "code": "Organization", "display": "Organization" } ] } }, { "resourceType": "ValueSet", "id": "vs4", "name": "Type options for Composition.attester.party", "status": "active", "description": "Type options for Composition.attester.party", "expansion": { "identifier": "urn:uuid:93a4bdbb-0cf4-4265-a9d9-f08650abddc3", "timestamp": "2016-03-31T08:11:31+11:00", "contains": [ { "system": "http://hl7.org/fhir/resource-types", "code": "Patient", "display": "Patient" }, { "system": "http://hl7.org/fhir/resource-types", "code": "Practitioner", "display": "Practitioner" }, { "system": "http://hl7.org/fhir/resource-types", "code": "Organization", "display": "Organization" } ] } } ], "identifier": [ { "system": "urn:ietf:rfc:3986" } ], "status": "draft", "date": "2016-03-31T08:01:25+11:00", "item": [ { "linkId": "Composition", "text": "A set of resources composed into a single coherent clinical statement with clinical attestation", "type": "group", "required": false, "repeats": true, "item": [ { "text": "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.", "type": "display" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "A set of healthcare-related information that is assembled together into a single logical document that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation with regard to who is making the statement. While a Composition defines the structure, it does not actually contain the content: rather the full content of a document is contained in a Bundle, of which the Composition is the first resource contained.", "type": "display" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "string" } ], "linkId": "Composition.id", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation. Bundles always have an id, though it is usually a generated UUID.", "type": "display" }, { "linkId": "Composition.id.value", "text": "Logical id of this artifact", "type": "string", "required": false, "repeats": false } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs", "valueInteger": 1 } ], "linkId": "Composition.meta", "text": "Metadata about the resource", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.", "type": "display" } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "uri" } ], "linkId": "Composition.implicitRules", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. 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 as much as possible.", "type": "display" }, { "linkId": "Composition.implicitRules.value", "text": "A set of rules under which this content was created", "type": "string", "required": false, "repeats": false } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "code" } ], "linkId": "Composition.language", "type": "group", "required": true, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "SHALL contain exactly one [1..1] language (CONF:2219-146). 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).", "type": "display" }, { "linkId": "Composition.language.value", "text": "language", "type": "choice", "required": false, "repeats": false } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs", "valueInteger": 1 } ], "linkId": "Composition.text", "text": "Text summary of the resource, for human interpretation", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative.", "type": "display" } ] }, { "linkId": "Composition.contained", "text": "Contained, inline Resources", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "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. 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.", "type": "display" } ] }, { "linkId": "Composition.extension", "text": "Extension", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "An Extension", "type": "display" } ] }, { "linkId": "Composition.modifierExtension", "text": "Extensions that cannot be ignored", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "type": "display" } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "Identifier" } ], "linkId": "Composition.identifier", "text": "identifier", "type": "group", "required": true, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "SHALL contain exactly one [1..1] identifier (CONF:2219-147). See discussion in resource definition for how these relate.", "type": "display" }, { "linkId": "Composition.identifier.label", "text": "label:", "type": "string", "required": false, "repeats": false }, { "linkId": "Composition.identifier.system", "text": "system:", "type": "string", "required": false, "repeats": false }, { "linkId": "Composition.identifier.value", "text": "value:", "type": "string", "required": false, "repeats": false } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "datetime" } ], "linkId": "Composition.date", "type": "group", "required": true, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "SHALL contain exactly one [1..1] date (CONF:2219-148). US Realm Datetime", "type": "display" }, { "linkId": "Composition.date.value", "text": "date", "type": "dateTime", "required": false, "repeats": false } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "CodeableConcept" } ], "linkId": "Composition.type", "text": "Document Type", "type": "group", "required": true, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "SHALL contain exactly one [1..1] type (CONF:2219-149). 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.", "type": "display" }, { "linkId": "Composition.type.coding", "text": "code:", "type": "open-choice", "required": false, "repeats": false }, { "linkId": "Composition.type.text", "text": "text:", "type": "string", "required": false, "repeats": false } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "CodeableConcept" } ], "linkId": "Composition.class", "text": "Categorization of Composition", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "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. This is a metadata field from [XDS/MHD](http://wiki.ihe.net/index.php?title=Mobile_access_to_Health_Documents_(MHD)).", "type": "display" }, { "linkId": "Composition.class.coding", "text": "code:", "type": "open-choice", "required": false, "repeats": false }, { "linkId": "Composition.class.text", "text": "text:", "type": "string", "required": false, "repeats": false } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "string" } ], "linkId": "Composition.title", "type": "group", "required": true, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "SHALL contain exactly one [1..1] title (CONF:2219-150). 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.", "type": "display" }, { "linkId": "Composition.title.value", "text": "Document Title", "type": "string", "required": false, "repeats": false } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "code" } ], "linkId": "Composition.status", "type": "group", "required": true, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "SHALL contain exactly one [1..1] status 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 \"withdrawn\" is why this element is labeled as a modifier of other elements. \n\nSome reporting work flows require that the original narrative of a final document never be altered; instead, only new narrative can be added. The composition resource has no explicit status for explicitly noting whether this business rule is in effect. This would be handled by an extension if required.", "type": "display" }, { "linkId": "Composition.status.value", "text": "status", "type": "choice", "required": false, "repeats": false } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "code" } ], "linkId": "Composition.confidentiality", "type": "group", "required": true, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "SHALL contain exactly one [1..1] confidentiality, which SHALL be selected from ValueSet HL7 BasicConfidentialityKind urn:oid:2.16.840.1.113883.1.11.16926 STATIC (CONF:2219-151). 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).", "type": "display" }, { "linkId": "Composition.confidentiality.value", "text": "confidentiality", "type": "choice", "required": false, "repeats": false } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "Reference" } ], "linkId": "Composition.subject", "type": "group", "required": true, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "SHALL contain exactly one [1..1] U.S. DAF Patient Profile (identifier: http://hl7.org/fhir/StructureDefinition/daf-patient) (CONF:2219-152). U.S. DAF Patient", "type": "display" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-allowedResource", "valueCode": "daf-patient" }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter", "valueString": "subject=$subj&patient=$subj&encounter=$encounter" } ], "linkId": "Composition.subject.value", "text": "recordTarget", "type": "reference", "required": false, "repeats": false } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "Reference" } ], "linkId": "Composition.author", "type": "group", "required": true, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "SHALL contain at least one [1..*] U.S. DAF Practitioner Profile (identifier: http://hl7.org/fhir/StructureDefinition/daf-pract) (CONF:2219-153). U.S. DAF Practitioner", "type": "display" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-allowedResource", "valueCode": "daf-pract" }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter", "valueString": "subject=$subj&patient=$subj&encounter=$encounter" } ], "linkId": "Composition.author.value", "text": "author", "type": "reference", "required": false, "repeats": false } ] }, { "linkId": "Composition.attester", "text": "Attests to accuracy of composition", "type": "group", "required": false, "repeats": true, "item": [ { "text": "Only list each attester once.", "type": "display" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "A participant who has attested to the accuracy of the composition/document.", "type": "display" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "string" } ], "linkId": "Composition.attester.id", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "unique id for the element within a resource (for internal references).", "type": "display" }, { "linkId": "Composition.attester.id.value", "text": "xml:id (or equivalent in JSON)", "type": "string", "required": false, "repeats": false } ] }, { "linkId": "Composition.attester.extension", "text": "Additional Content defined by implementations", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "type": "display" } ] }, { "linkId": "Composition.attester.modifierExtension", "text": "Extensions that cannot be ignored", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "type": "display" } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "code" } ], "linkId": "Composition.attester.mode", "type": "group", "required": true, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "SHALL contain exactly one [1..1] mode=\"legal\" (CodeSystem: FHIR CompositionAttestationMode http://hl7.org/fhir/composition-attestation-mode) (CONF:2219-1838). Use more than one code where a single attester has more than one mode (professional and legal are often paired).", "type": "display" }, { "linkId": "Composition.attester.mode.value", "text": "mode", "type": "choice", "required": false, "repeats": false } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "datetime" } ], "linkId": "Composition.attester.time", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "When composition was attested by the party.", "type": "display" }, { "linkId": "Composition.attester.time.value", "text": "When composition attested", "type": "dateTime", "required": false, "repeats": false } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "Reference" } ], "linkId": "Composition.attester.party", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "SHALL contain zero or one [0..1] U.S. DAF Practitioner Profile (identifier: http://hl7.org/fhir/StructureDefinition/daf-pract) (CONF:2219-1839).", "type": "display" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-allowedResource", "valueCode": "daf-pract" }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter", "valueString": "subject=$subj&patient=$subj&encounter=$encounter" } ], "linkId": "Composition.attester.party.value", "text": "party", "type": "reference", "required": false, "repeats": false } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "string" } ], "linkId": "Composition.attester.id", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "unique id for the element within a resource (for internal references).", "type": "display" }, { "linkId": "Composition.attester.id.value", "text": "xml:id (or equivalent in JSON)", "type": "string", "required": false, "repeats": false } ] }, { "linkId": "Composition.attester.extension", "text": "Additional Content defined by implementations", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "type": "display" } ] }, { "linkId": "Composition.attester.modifierExtension", "text": "Extensions that cannot be ignored", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "type": "display" } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "code" } ], "linkId": "Composition.attester.mode", "type": "group", "required": true, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "SHALL contain at least one [1..*] mode, which SHOULD be selected from ValueSet FHIR CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode DYNAMIC (CONF:2219-1841). Use more than one code where a single attester has more than one mode (professional and legal are often paired).", "type": "display" }, { "linkId": "Composition.attester.mode.value", "text": "mode", "type": "choice", "required": false, "repeats": false } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "datetime" } ], "linkId": "Composition.attester.time", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "When composition was attested by the party.", "type": "display" }, { "linkId": "Composition.attester.time.value", "text": "When composition attested", "type": "dateTime", "required": false, "repeats": false } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs", "valueInteger": 1 } ], "linkId": "Composition.attester.party", "text": "Who attested the composition", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "Who attested the composition in the specified way.", "type": "display" }, { "linkId": "Composition.attester.party._type", "text": "type", "type": "choice", "required": false, "repeats": false, "options": { "reference": "#vs2" }, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "Reference" } ], "linkId": "Composition.attester.party._Patient", "type": "group", "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-allowedResource", "valueCode": "Patient" }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter", "valueString": "subject=$subj&patient=$subj&encounter=$encounter" } ], "linkId": "Composition.attester.party._Patient.value", "text": "Patient", "type": "reference", "required": false, "repeats": false } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "Reference" } ], "linkId": "Composition.attester.party._Practitioner", "type": "group", "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-allowedResource", "valueCode": "Practitioner" }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter", "valueString": "subject=$subj&patient=$subj&encounter=$encounter" } ], "linkId": "Composition.attester.party._Practitioner.value", "text": "Practitioner", "type": "reference", "required": false, "repeats": false } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "Reference" } ], "linkId": "Composition.attester.party._Organization", "type": "group", "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-allowedResource", "valueCode": "Organization" }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter", "valueString": "subject=$subj&patient=$subj&encounter=$encounter" } ], "linkId": "Composition.attester.party._Organization.value", "text": "Organization", "type": "reference", "required": false, "repeats": false } ] } ] } ] } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs", "valueInteger": 1 } ], "linkId": "Composition.attester", "text": "legalAuthenticator", "type": "group", "required": false, "repeats": false, "item": [ { "text": "Only list each attester once.", "type": "display" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "SHOULD contain zero or one [0..1] attester (CONF:2219-1837) such that it", "type": "display" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "string" } ], "linkId": "Composition.attester.id", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "unique id for the element within a resource (for internal references).", "type": "display" }, { "linkId": "Composition.attester.id.value", "text": "xml:id (or equivalent in JSON)", "type": "string", "required": false, "repeats": false } ] }, { "linkId": "Composition.attester.extension", "text": "Additional Content defined by implementations", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "type": "display" } ] }, { "linkId": "Composition.attester.modifierExtension", "text": "Extensions that cannot be ignored", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "type": "display" } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "code" } ], "linkId": "Composition.attester.mode", "type": "group", "required": true, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "SHALL contain exactly one [1..1] mode=\"legal\" (CodeSystem: FHIR CompositionAttestationMode http://hl7.org/fhir/composition-attestation-mode) (CONF:2219-1838). Use more than one code where a single attester has more than one mode (professional and legal are often paired).", "type": "display" }, { "linkId": "Composition.attester.mode.value", "text": "mode", "type": "choice", "required": false, "repeats": false } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "datetime" } ], "linkId": "Composition.attester.time", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "When composition was attested by the party.", "type": "display" }, { "linkId": "Composition.attester.time.value", "text": "When composition attested", "type": "dateTime", "required": false, "repeats": false } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "Reference" } ], "linkId": "Composition.attester.party", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "SHALL contain zero or one [0..1] U.S. DAF Practitioner Profile (identifier: http://hl7.org/fhir/StructureDefinition/daf-pract) (CONF:2219-1839).", "type": "display" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-allowedResource", "valueCode": "daf-pract" }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter", "valueString": "subject=$subj&patient=$subj&encounter=$encounter" } ], "linkId": "Composition.attester.party.value", "text": "party", "type": "reference", "required": false, "repeats": false } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "string" } ], "linkId": "Composition.attester.id", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "unique id for the element within a resource (for internal references).", "type": "display" }, { "linkId": "Composition.attester.id.value", "text": "xml:id (or equivalent in JSON)", "type": "string", "required": false, "repeats": false } ] }, { "linkId": "Composition.attester.extension", "text": "Additional Content defined by implementations", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "type": "display" } ] }, { "linkId": "Composition.attester.modifierExtension", "text": "Extensions that cannot be ignored", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "type": "display" } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "code" } ], "linkId": "Composition.attester.mode", "type": "group", "required": true, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "SHALL contain at least one [1..*] mode, which SHOULD be selected from ValueSet FHIR CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode DYNAMIC (CONF:2219-1841). Use more than one code where a single attester has more than one mode (professional and legal are often paired).", "type": "display" }, { "linkId": "Composition.attester.mode.value", "text": "mode", "type": "choice", "required": false, "repeats": false } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "datetime" } ], "linkId": "Composition.attester.time", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "When composition was attested by the party.", "type": "display" }, { "linkId": "Composition.attester.time.value", "text": "When composition attested", "type": "dateTime", "required": false, "repeats": false } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs", "valueInteger": 1 } ], "linkId": "Composition.attester.party", "text": "Who attested the composition", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "Who attested the composition in the specified way.", "type": "display" }, { "linkId": "Composition.attester.party._type", "text": "type", "type": "choice", "required": false, "repeats": false, "options": { "reference": "#vs3" }, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "Reference" } ], "linkId": "Composition.attester.party._Patient", "type": "group", "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-allowedResource", "valueCode": "Patient" }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter", "valueString": "subject=$subj&patient=$subj&encounter=$encounter" } ], "linkId": "Composition.attester.party._Patient.value", "text": "Patient", "type": "reference", "required": false, "repeats": false } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "Reference" } ], "linkId": "Composition.attester.party._Practitioner", "type": "group", "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-allowedResource", "valueCode": "Practitioner" }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter", "valueString": "subject=$subj&patient=$subj&encounter=$encounter" } ], "linkId": "Composition.attester.party._Practitioner.value", "text": "Practitioner", "type": "reference", "required": false, "repeats": false } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "Reference" } ], "linkId": "Composition.attester.party._Organization", "type": "group", "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-allowedResource", "valueCode": "Organization" }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter", "valueString": "subject=$subj&patient=$subj&encounter=$encounter" } ], "linkId": "Composition.attester.party._Organization.value", "text": "Organization", "type": "reference", "required": false, "repeats": false } ] } ] } ] } ] }, { "linkId": "Composition.attester", "text": "authenticator", "type": "group", "required": false, "repeats": true, "item": [ { "text": "Only list each attester once.", "type": "display" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "MAY contain zero or more [0..*] attester (CONF:2219-1840) such that it", "type": "display" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "string" } ], "linkId": "Composition.attester.id", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "unique id for the element within a resource (for internal references).", "type": "display" }, { "linkId": "Composition.attester.id.value", "text": "xml:id (or equivalent in JSON)", "type": "string", "required": false, "repeats": false } ] }, { "linkId": "Composition.attester.extension", "text": "Additional Content defined by implementations", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "type": "display" } ] }, { "linkId": "Composition.attester.modifierExtension", "text": "Extensions that cannot be ignored", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "type": "display" } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "code" } ], "linkId": "Composition.attester.mode", "type": "group", "required": true, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "SHALL contain exactly one [1..1] mode=\"legal\" (CodeSystem: FHIR CompositionAttestationMode http://hl7.org/fhir/composition-attestation-mode) (CONF:2219-1838). Use more than one code where a single attester has more than one mode (professional and legal are often paired).", "type": "display" }, { "linkId": "Composition.attester.mode.value", "text": "mode", "type": "choice", "required": false, "repeats": false } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "datetime" } ], "linkId": "Composition.attester.time", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "When composition was attested by the party.", "type": "display" }, { "linkId": "Composition.attester.time.value", "text": "When composition attested", "type": "dateTime", "required": false, "repeats": false } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "Reference" } ], "linkId": "Composition.attester.party", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "SHALL contain zero or one [0..1] U.S. DAF Practitioner Profile (identifier: http://hl7.org/fhir/StructureDefinition/daf-pract) (CONF:2219-1839).", "type": "display" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-allowedResource", "valueCode": "daf-pract" }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter", "valueString": "subject=$subj&patient=$subj&encounter=$encounter" } ], "linkId": "Composition.attester.party.value", "text": "party", "type": "reference", "required": false, "repeats": false } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "string" } ], "linkId": "Composition.attester.id", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "unique id for the element within a resource (for internal references).", "type": "display" }, { "linkId": "Composition.attester.id.value", "text": "xml:id (or equivalent in JSON)", "type": "string", "required": false, "repeats": false } ] }, { "linkId": "Composition.attester.extension", "text": "Additional Content defined by implementations", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "type": "display" } ] }, { "linkId": "Composition.attester.modifierExtension", "text": "Extensions that cannot be ignored", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "type": "display" } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "code" } ], "linkId": "Composition.attester.mode", "type": "group", "required": true, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "SHALL contain at least one [1..*] mode, which SHOULD be selected from ValueSet FHIR CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode DYNAMIC (CONF:2219-1841). Use more than one code where a single attester has more than one mode (professional and legal are often paired).", "type": "display" }, { "linkId": "Composition.attester.mode.value", "text": "mode", "type": "choice", "required": false, "repeats": false } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "datetime" } ], "linkId": "Composition.attester.time", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "When composition was attested by the party.", "type": "display" }, { "linkId": "Composition.attester.time.value", "text": "When composition attested", "type": "dateTime", "required": false, "repeats": false } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs", "valueInteger": 1 } ], "linkId": "Composition.attester.party", "text": "Who attested the composition", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "Who attested the composition in the specified way.", "type": "display" }, { "linkId": "Composition.attester.party._type", "text": "type", "type": "choice", "required": false, "repeats": false, "options": { "reference": "#vs4" }, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "Reference" } ], "linkId": "Composition.attester.party._Patient", "type": "group", "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-allowedResource", "valueCode": "Patient" }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter", "valueString": "subject=$subj&patient=$subj&encounter=$encounter" } ], "linkId": "Composition.attester.party._Patient.value", "text": "Patient", "type": "reference", "required": false, "repeats": false } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "Reference" } ], "linkId": "Composition.attester.party._Practitioner", "type": "group", "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-allowedResource", "valueCode": "Practitioner" }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter", "valueString": "subject=$subj&patient=$subj&encounter=$encounter" } ], "linkId": "Composition.attester.party._Practitioner.value", "text": "Practitioner", "type": "reference", "required": false, "repeats": false } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "Reference" } ], "linkId": "Composition.attester.party._Organization", "type": "group", "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-allowedResource", "valueCode": "Organization" }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter", "valueString": "subject=$subj&patient=$subj&encounter=$encounter" } ], "linkId": "Composition.attester.party._Organization.value", "text": "Organization", "type": "reference", "required": false, "repeats": false } ] } ] } ] } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "Reference" } ], "linkId": "Composition.custodian", "type": "group", "required": true, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "SHALL contain exactly one [1..1] U.S. DAF Organization Profile (identifier: http://hl7.org/fhir/StructureDefinition/daf-organization) (CONF:2219-154). U.S. DAF Organization", "type": "display" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-allowedResource", "valueCode": "daf-organization" }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter", "valueString": "subject=$subj&patient=$subj&encounter=$encounter" } ], "linkId": "Composition.custodian.value", "text": "custodian", "type": "reference", "required": false, "repeats": false } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs", "valueInteger": 1 } ], "linkId": "Composition.event", "text": "serviceEvent", "type": "group", "required": true, "repeats": false, "item": [ { "text": "The event needs to be consistent with the type element, though can provide further information if desired.", "type": "display" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "SHALL contain exactly one [1..1] event (CONF:2219-676).", "type": "display" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "string" } ], "linkId": "Composition.event.id", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "unique id for the element within a resource (for internal references).", "type": "display" }, { "linkId": "Composition.event.id.value", "text": "xml:id (or equivalent in JSON)", "type": "string", "required": false, "repeats": false } ] }, { "linkId": "Composition.event.extension", "text": "Additional Content defined by implementations", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "type": "display" } ] }, { "linkId": "Composition.event.modifierExtension", "text": "Extensions that cannot be ignored", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "type": "display" } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "CodeableConcept" } ], "linkId": "Composition.event.code", "text": "Code(s) that apply to the event being documented", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "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. 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.", "type": "display" }, { "linkId": "Composition.event.code.coding", "text": "code:", "type": "open-choice", "required": false, "repeats": false }, { "linkId": "Composition.event.code.text", "text": "text:", "type": "string", "required": false, "repeats": false } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "Period" } ], "linkId": "Composition.event.period", "text": "period", "type": "group", "required": true, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "This event SHALL contain exactly one [1..1] period (CONF:2219-677).", "type": "display" }, { "linkId": "Composition.event.period.low", "text": "start:", "type": "dateTime", "required": false, "repeats": false }, { "linkId": "Composition.event.period.end", "text": "end:", "type": "dateTime", "required": false, "repeats": false } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "Reference" } ], "linkId": "Composition.event.detail", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "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.", "type": "display" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-allowedResource", "valueCode": "Resource" }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter", "valueString": "subject=$subj&patient=$subj&encounter=$encounter" } ], "linkId": "Composition.event.detail.value", "text": "The event(s) being documented", "type": "reference", "required": false, "repeats": false } ] } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "Reference" } ], "linkId": "Composition.encounter", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "MAY contain zero or one [0..1] U.S. DAF Encounter Profile (identifier: http://hl7.org/fhir/StructureDefinition/daf-encounter) (CONF:2219-679). U.S. DAF Encounter", "type": "display" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-allowedResource", "valueCode": "daf-encounter" }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter", "valueString": "subject=$subj&patient=$subj&encounter=$encounter" } ], "linkId": "Composition.encounter.value", "text": "encompassingEncounter", "type": "reference", "required": false, "repeats": false } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs", "valueInteger": 1 } ], "linkId": "Composition.section", "text": "section", "type": "group", "required": true, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "SHALL contain at least one [1..*] section (CONF:2219-680).", "type": "display" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "string" } ], "linkId": "Composition.section.id", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "unique id for the element within a resource (for internal references).", "type": "display" }, { "linkId": "Composition.section.id.value", "text": "xml:id (or equivalent in JSON)", "type": "string", "required": false, "repeats": false } ] }, { "linkId": "Composition.section.extension", "text": "Additional Content defined by implementations", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "type": "display" } ] }, { "linkId": "Composition.section.modifierExtension", "text": "Extensions that cannot be ignored", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "type": "display" } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "string" } ], "linkId": "Composition.section.title", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "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. 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.", "type": "display" }, { "linkId": "Composition.section.title.value", "text": "Label for section (e.g. for ToC)", "type": "string", "required": false, "repeats": false } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "CodeableConcept" } ], "linkId": "Composition.section.code", "text": "Classification of section (recommended)", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "A code identifying the kind of content contained within the section. This must be consistent with the section title. 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.", "type": "display" }, { "linkId": "Composition.section.code.coding", "text": "code:", "type": "open-choice", "required": false, "repeats": false }, { "linkId": "Composition.section.code.text", "text": "text:", "type": "string", "required": false, "repeats": false } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs", "valueInteger": 1 } ], "linkId": "Composition.section.text", "text": "Text summary of the section, for human interpretation", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "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. Document profiles may define what content should be represented in the narrative to ensure clinical safety.", "type": "display" } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "code" } ], "linkId": "Composition.section.mode", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "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.", "type": "display" }, { "linkId": "Composition.section.mode.value", "text": "mode", "type": "choice", "required": false, "repeats": false } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "CodeableConcept" } ], "linkId": "Composition.section.orderedBy", "text": "Order of section entries", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "Specifies the order applied to the items in the section entries. 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.", "type": "display" }, { "linkId": "Composition.section.orderedBy.coding", "text": "code:", "type": "open-choice", "required": false, "repeats": false }, { "linkId": "Composition.section.orderedBy.text", "text": "text:", "type": "string", "required": false, "repeats": false } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "Reference" } ], "linkId": "Composition.section.entry", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "A reference to the actual resource from which the narrative in the section is derived. If there are no entries in the list, an emptyReason SHOULD be provided.", "type": "display" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-allowedResource", "valueCode": "Resource" }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter", "valueString": "subject=$subj&patient=$subj&encounter=$encounter" } ], "linkId": "Composition.section.entry.value", "text": "A reference to data that supports this section", "type": "reference", "required": false, "repeats": false } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType", "valueString": "CodeableConcept" } ], "linkId": "Composition.section.emptyReason", "text": "Why the section is empty", "type": "group", "required": false, "repeats": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason. 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.", "type": "display" }, { "linkId": "Composition.section.emptyReason.coding", "text": "code:", "type": "open-choice", "required": false, "repeats": false }, { "linkId": "Composition.section.emptyReason.text", "text": "text:", "type": "string", "required": false, "repeats": false } ] }, { "linkId": "Composition.section.section", "text": "Nested Section", "type": "group", "required": false, "repeats": true, "item": [ { "text": "Nested sections are primarily used to help human readers navigate to particular portions of the document.", "type": "display" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "flyover", "display": "Fly-over" } ] } } ], "text": "A nested sub-section within this section.", "type": "display" } ] } ] } ] } ] }
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.