MITRE's 'Mini-CIMI' FHIR Profile: Skin and Wound Assessment, Release 1 (For Comment)

ExchangeForm-WoundComprehensiveHistoryProfile

Definitions for sw-ExchangeForm-WoundComprehensiveHistory.

Composition
Definition

A collection of all information about a single wound, possibly including many observations taken by different people at different times. Everything in the aggregation relates to the same wound.

Control0..*
Comments

While the focus of this specification is on patient-specific clinical statements, this resource can also apply to other healthcare-related statements such as study protocol designs, healthcare invoices and other activities that are not necessarily patient-specific or clinical.

InvariantsDefined on this element
dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative (: contained.text.empty())
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (: contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource (: contained.where(('#'+id in %resource.descendants().reference).not()).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
Composition.id
Definition

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

Control0..1
Typeid
Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Composition.meta
Definition

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

Control0..1
TypeMeta
Composition.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.

Control0..1
Typeuri
Is Modifiertrue
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element.

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.

Composition.language
Definition

The base language in which the resource is written.

Control0..1
BindingA human language.
The codes SHALL be taken from Common Languages; other codes may be used where these codes are not suitable
Typecode
Comments

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

Composition.text
Definition

A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

Control0..1 This element is affected by the following invariants: dom-1
TypeNarrative
Alternate Namesnarrative, html, xhtml, display
Comments

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later.

Composition.contained
Definition

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

Control0..*
TypeResource
Alternate Namesinline resources, anonymous resources, contained resources
Comments

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.

Composition.extension
Definition

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

Control1..*
TypeExtension
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Composition.extension ([CanonicalType[http://hl7.org/fhir/us/sw/StructureDefinition/shr-base-Subject-extension]])
Definition

The person, place, event, condition, other statement that this statement addresses or belongs to. For an existential finding, the Subject is the 'owner' of the object said to exist or not exist. For example, the subject for a condition is a patient; the subject for wound size is a wound. Subjects are themselves statements.

Control0..* This element is affected by the following invariants: ele-1
Type (Extension Type: Reference(DomainResource))
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: children().count() > id.count())
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
Composition.extension.id
Definition

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

Control0..1
Typestring
Composition.extension.extension(extension)
Definition

An Extension

Control0..0
TypeExtension
Composition.extension.url
Definition

Source of the definition for the extension code - a logical name or a URL.

Control1..1
Typeuri
Comments

The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

Fixed Valuehttp://hl7.org/fhir/us/sw/StructureDefinition/shr-base-Subject-extension
Composition.extension.valueReference
Definition

The presence of a wound.

Control1..1
TypeReference(WoundProfile)
Composition.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. 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.

Control0..*
TypeExtension
Is Modifiertrue
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Composition.identifier
Definition

Logical identifier for the composition, assigned when created. This identifier stays constant as the composition is changed over time.

NoteThis is a business identifer, not a resource identifier (see discussion)
Control0..1
TypeIdentifier
Comments

See discussion in resource definition for how these relate.

Composition.status
Definition

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

Control1..1
BindingThe workflow/clinical status of the composition.
The codes SHALL be taken from CompositionStatus
Typecode
Is Modifiertrue
Requirements

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

Comments

If a composition is marked as withdrawn, the compositions/documents in the series, or data from the composition or document series, should never be displayed to a user without being clearly marked as untrustworthy. The flag "entered-in-error" is why this element is labeled as a modifier of other elements.

Some reporting work flows require that the original narrative of a final document never be altered; instead, only new narrative can be added. The composition resource has no explicit status for explicitly noting whether this business rule is in effect. This would be handled by an extension if required.

Composition.type
Definition

Specifies the particular kind of composition (e.g. History and Physical, Discharge Summary, Progress Note). This usually equates to the purpose of making the composition.

Control1..1
BindingType of a composition.
The codes SHOULD be taken from FHIR Document Type Codes
TypeCodeableConcept
Requirements

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

Comments

For Composition type, LOINC is ubiquitous and strongly endorsed by HL7. Most implementation guides will require a specific LOINC code, or use LOINC as an extensible binding.

Composition.type.id
Definition

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

Control0..1
Typestring
Composition.type.extension
Definition

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

Control0..*
TypeExtension
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Composition.type.coding
Definition

A reference to a code defined by a terminology system.

Control1..*
TypeCoding
Requirements

Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.

Comments

Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

Composition.type.coding(Fixed_39135-9)
Definition

A reference to a code defined by a terminology system.

Control1..1
TypeCoding
Composition.type.coding.id
Definition

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

Control0..1
Typestring
Composition.type.coding.extension
Definition

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

Control0..*
TypeExtension
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Composition.type.coding.system
Definition

The identification of the code system that defines the meaning of the symbol in the code.

Control0..1
Typeuri
Requirements

Need to be unambiguous about the source of the definition of the symbol.

Comments

The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.

Fixed Valuehttp://loinc.org
Composition.type.coding.version
Definition

The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

NoteThis is a business versionId, not a resource version id (see discussion)
Control0..1
Typestring
Comments

Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

Composition.type.coding.code
Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Control0..1
Typecode
Requirements

Need to refer to a particular code in the system.

Fixed Value39135-9
Composition.type.coding.display
Definition

A representation of the meaning of the code in the system, following the rules of the system.

Control0..1
Typestring
Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Composition.type.coding.userSelected
Definition

Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).

Control0..1
Typeboolean
Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Comments

Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

Composition.type.text
Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Control0..1
Typestring
Requirements

The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

Comments

Very often the text is the same as a displayName of one of the codings.

Composition.class
Definition

A categorization for the type of the composition - helps for indexing and searching. This may be implied by or derived from the code specified in the Composition Type.

Control0..1
BindingHigh-level kind of a clinical document at a macro level.
For example codes, see FHIR Document Class Codes
TypeCodeableConcept
Requirements

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

Comments

This is a metadata field from XDS/MHD.

Composition.subject
Definition

Who or what the composition is about. The composition can be about a person, (patient or healthcare practitioner), a device (e.g. a machine) or even a group of subjects (such as a document about a herd of livestock, or a set of patients that share a common exposure).

Control1..1
TypeReference(Resource)
Requirements

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

Comments

For clinical documents, this is usually the patient.

Composition.encounter
Definition

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

Control0..1
TypeReference(Encounter)
Requirements

Provides context for the composition and supports searching.

Composition.date
Definition

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

Control1..1
TypedateTime
Requirements

dateTime is used for tracking, organizing versions and searching.

Comments

The Last Modified Date on the composition may be after the date of the document was attested without being changed.

Composition.author
Definition

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

Control1..*
TypeReference(Practitioner | Device | Patient | RelatedPerson)
Requirements

Identifies who is responsible for the content.

Composition.title
Definition

Official human-readable label for the composition.

Control1..1
Typestring
Comments

For many compositions, the title is the same as the text or a display name of Composition.type (e.g. a "consultation" or "progress note"). Note that CDA does not make title mandatory, but there are no known cases where it is useful for title to be omitted, so it is mandatory here. Feedback on this requirement is welcome during the trial use period.

Composition.confidentiality
Definition

The code specifying the level of confidentiality of the Composition.

Control0..1
BindingCodes specifying the level of confidentiality of the composition.
The codes SHALL be taken from ConfidentialityClassification
Typecode
Is Modifiertrue
Comments

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.

Composition.attester
Definition

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

Control0..*
TypeBackboneElement
Requirements

Identifies responsibility for the accuracy of the composition content.

Comments

Only list each attester once.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() | (children().count() > id.count()))
Composition.attester.id
Definition

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

Control0..1
Typestring
Composition.attester.extension
Definition

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

Control0..*
TypeExtension
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Composition.attester.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element 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.

Control0..*
TypeExtension
Is Modifiertrue
Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Composition.attester.mode
Definition

The type of attestation the authenticator offers.

Control1..*
BindingThe way in which a person authenticated a composition.
The codes SHALL be taken from CompositionAttestationMode
Typecode
Requirements

Indicates the level of authority of the attestation.

Comments

Use more than one code where a single attester has more than one mode (professional and legal are often paired).

Composition.attester.time
Definition

When the composition was attested by the party.

Control0..1
TypedateTime
Requirements

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

Composition.attester.party
Definition

Who attested the composition in the specified way.

Control0..1
TypeReference(Patient | Practitioner | Organization)
Requirements

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

Composition.custodian
Definition

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

Control0..1
TypeReference(Organization)
Requirements

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

Comments

This is useful when documents are derived from a composition - provides guidance for how to get the latest version of the document. This is optional because this is sometimes not known by the authoring system, and can be inferred by context. However, it is important that this information be known when working with a derived document, so providing a custodian is encouraged.

Composition.relatesTo
Definition

Relationships that this composition has with other compositions or documents that already exist.

Control0..*
TypeBackboneElement
Comments

A document is a version specific composition.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() | (children().count() > id.count()))
Composition.relatesTo.id
Definition

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

Control0..1
Typestring
Composition.relatesTo.extension
Definition

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

Control0..*
TypeExtension
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Composition.relatesTo.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element 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.

Control0..*
TypeExtension
Is Modifiertrue
Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Composition.relatesTo.code
Definition

The type of relationship that this composition has with anther composition or document.

Control1..1
BindingThe type of relationship between documents.
The codes SHALL be taken from DocumentRelationshipType
Typecode
Comments

If this document appends another document, then the document cannot be fully understood without also accessing the referenced document.

Composition.relatesTo.target[x]
Definition

The target composition/document of this relationship.

Control1..1
TypeChoice of: Identifier, Reference(Composition)
[x] NoteSee Choice of Data Types for further information about how to use [x]
Composition.event
Definition

The clinical service, such as a colonoscopy or an appendectomy, being documented.

Control0..*
TypeBackboneElement
Requirements

Provides context for the composition and creates a linkage between a resource describing an event and the composition created describing the event.

Comments

The event needs to be consistent with the type element, though can provide further information if desired.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() | (children().count() > id.count()))
Composition.event.id
Definition

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

Control0..1
Typestring
Composition.event.extension
Definition

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

Control0..*
TypeExtension
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Composition.event.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element 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.

Control0..*
TypeExtension
Is Modifiertrue
Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Composition.event.code
Definition

This list of codes represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented. In some cases, the event is inherent in the typeCode, such as a "History and Physical Report" in which the procedure being documented is necessarily a "History and Physical" act.

Control0..*
BindingThis list of codes represents the main clinical acts being documented.
For example codes, see v3 Code System ActCode
TypeCodeableConcept
Comments

An event can further specialize the act inherent in the typeCode, such as where it is simply "Procedure Report" and the procedure was a "colonoscopy". If one or more 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.

Composition.event.period
Definition

The period of time covered by the documentation. There is no assertion that the documentation is a complete representation for this period, only that it documents events during this time.

Control0..1
TypePeriod
Composition.event.detail
Definition

The description and/or reference of the event(s) being documented. For example, this could be used to document such a colonoscopy or an appendectomy.

Control0..*
TypeReference(Resource)
Composition.section
Definition

The root of the sections that make up the composition.

Control1..1
TypeBackboneElement
InvariantsDefined on this element
cmp-1: A section must at least one of text, entries, or sub-sections (: text.exists() or entry.exists() or section.exists())
cmp-2: A section can only have an emptyReason if it is empty (: emptyReason.empty() or entry.empty())
ele-1: All FHIR elements must have a @value or children (: hasValue() | (children().count() > id.count()))
Composition.section.id
Definition

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

Control0..1
Typestring
Composition.section.extension
Definition

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

Control0..*
TypeExtension
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Composition.section.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element 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.

Control0..*
TypeExtension
Is Modifiertrue
Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Composition.section.title
Definition

The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

Control0..1
Typestring
Requirements

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

Alternate Namesheader, label, caption
Comments

The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

Composition.section.code
Definition

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

Control0..1
BindingClassification of a section of a composition/document.
For example codes, see Document Section Codes
TypeCodeableConcept
Requirements

Provides computable standardized labels to topics within the document.

Comments

The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

Composition.section.text
Definition

A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

Control0..1 This element is affected by the following invariants: cmp-1
TypeNarrative
Comments

Document profiles may define what content should be represented in the narrative to ensure clinical safety.

Composition.section.mode
Definition

How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.

Control0..1
BindingThe processing mode that applies to this section.
The codes SHALL be taken from ListMode
Typecode
Is Modifiertrue
Requirements

Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.

Comments

This element is labeled as a modifier because a change list must not be mis-understood as a complete list.

Composition.section.orderedBy
Definition

Specifies the order applied to the items in the section entries.

Control0..1
BindingWhat order applies to the items in the entry.
The codes SHOULD be taken from List Order Codes
TypeCodeableConcept
Requirements

Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

Comments

Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

Composition.section.entry
Definition

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

Control2..* This element is affected by the following invariants: cmp-2
TypeReference(DomainResource)
Comments

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

Composition.section.entry(sw-WoundType)
Definition

The type of wound, for example, abrasion or laceration.

Control1..* This element is affected by the following invariants: cmp-2
TypeReference(WoundTypeProfile)
Composition.section.entry(sw-WoundLocationObservation)
Definition

Body location of a wound.

Control1..1 This element is affected by the following invariants: cmp-2
TypeReference(WoundLocationObservationProfile)
Composition.section.entry(shr-entity-TimeOfOnset)
Definition

The beginning or first appearance of a mental or physical disorder.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(TimeOfOnsetProfile)
Composition.section.entry(shr-entity-ConditionPresentOnAdmission)
Definition

Whether the condition was present when the patient was admitted.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(ConditionPresentOnAdmissionProfile)
Composition.section.entry(sw-WoundTypeEtiology)
Definition

The source or key factor in the formation or acquisition of the wound.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(WoundTypeEtiologyProfile)
Composition.section.entry(shr-entity-TimeOfAbatement)
Definition

The end, remission or resolution of a disease.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(TimeOfAbatementProfile)
Composition.section.entry(sw-WoundPressureUlcerAssociation)
Definition

Is the wound associated with a device or pressure point?

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(WoundPressureUlcerAssociationProfile)
Composition.section.entry(sw-WoundEpisode)
Definition

Whether the wound is initial or recurrent.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(WoundEpisodeProfile)
Composition.section.entry(sw-WoundAssessmentInterpretation)
Definition

Overall assessement of whether the wound is within normal parameters.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(WoundAssessmentInterpretationProfile)
Composition.section.entry(sw-PhotographicImage)
Definition

A photographic documentation of a condition, location, person, etc...

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(PhotographicImageProfile)
Composition.section.entry(sw-WoundTrend)
Definition

Whether a condition is improving, worsening, stable, or resolved.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(WoundTrendProfile)
Composition.section.entry(sw-WoundPeriwoundDescription)
Definition

A description of the skin around the wound (periwound).

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(WoundPeriwoundDescriptionProfile)
Composition.section.entry(sw-WoundVisibleInternalStructure)
Definition

Exposed body structures, devices, and/or foreign bodies visible by the naked eye in a wound.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(WoundVisibleInternalStructureProfile)
Composition.section.entry(sw-WoundBedAppearance)
Definition

Appearance of wound base (bed)

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(WoundBedAppearanceProfile)
Composition.section.entry(sw-WoundBedAppearancePercentage)
Definition

Area of wound bed portion appearance/Entire ​Area of wound bed -- Linked to a wound bed appearance

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(WoundBedAppearancePercentageProfile)
Composition.section.entry(sw-WoundBedColor)
Definition

Color of a portion or entire wound base (bed).

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(WoundBedColorProfile)
Composition.section.entry(sw-WoundBedColorPercentage)
Definition

Wound bed area identified by color/​Area of wound bed.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(WoundBedColorPercentageProfile)
Composition.section.entry(sw-WoundEdgeDescription)
Definition

The state of the tissue at the edge of the wound.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(WoundEdgeDescriptionProfile)
Composition.section.entry(sw-WoundEdgeColor)
Definition

Color of Wound edge.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(WoundEdgeColorProfile)
Composition.section.entry(sw-WoundWidth)
Definition

Width of the wound (perpendicular to longest dimension).

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(WoundWidthProfile)
Composition.section.entry(sw-WoundDepth)
Definition

Depth of the wound.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(WoundDepthProfile)
Composition.section.entry(sw-WoundLength)
Definition

Length of the wound (longest dimension).

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(WoundLengthProfile)
Composition.section.entry(sw-WoundArea)
Definition

Area of the wound.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(WoundAreaProfile)
Composition.section.entry(sw-WoundExudateAmount)
Definition

Drainage amount of wound

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(WoundExudateAmountProfile)
Composition.section.entry(sw-WoundExudateVolume)
Definition

Appearance of exudate from wound

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(WoundExudateVolumeProfile)
Composition.section.entry(sw-WoundExudateColor)
Definition

Color of exudate from wound

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(WoundExudateColorProfile)
Composition.section.entry(sw-WoundExudateAppearance)
Definition

Appearance of exudate from wound

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(WoundExudateAppearanceProfile)
Composition.section.entry(sw-WoundExudateOdor)
Definition

Odor of exudate from wound

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(WoundExudateOdorProfile)
Composition.section.entry(sw-WoundTunnel)
Definition

The presence of a wound tunnel.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(WoundTunnelProfile)
Composition.section.entry(sw-WoundTunnelLength)
Definition

The length of a wound tunnel, in cm.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(WoundTunnelLengthProfile)
Composition.section.entry(sw-WoundTunnelClockDirection)
Definition

Clock position of wound tunnel

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(WoundTunnelClockDirectionProfile)
Composition.section.entry(sw-WoundUndermining)
Definition

The presence of wound undermining.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(WoundUnderminingProfile)
Composition.section.entry(sw-WoundUnderminingLength)
Definition

Length of wound undermining.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(WoundUnderminingLengthProfile)
Composition.section.entry(sw-WoundUnderminingClockDirection)
Definition

Clock position of wound undermining

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(WoundUnderminingClockDirectionProfile)
Composition.section.emptyReason
Definition

If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

Control0..1 This element is affected by the following invariants: cmp-2
BindingIf a section is empty, why it is empty.
The codes SHOULD be taken from List Empty Reasons
TypeCodeableConcept
Requirements

Allows capturing things like "none exist" or "not asked" which can be important for most lists.

Comments

The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

Composition.section.section
Definition

A nested sub-section within this section.

Control0..* This element is affected by the following invariants: cmp-1
TypeSee Composition.section
Comments

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