BSeR: Bidirectional Services_eReferral - Local Development build (v2.0.0-connectathon). See the Directory of published versions

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Resource Profile: BSeR Referral Request Composition

The structural body and metadata of the referral request document.

Usage:

• Use this Resource Profile: BSeR Referral Request Document Bundle
• Examples for this Resource Profile: Composition/composition-bser-referral-request-arthritis-everywoman, Composition/composition-bser-referral-request-diabetes-everywoman, Composition/composition-bser-referral-request-hypertension-everywoman, Composition/composition-bser-referral-request-obesity-everywoman and Composition/composition-bser-referral-request-tobacco-everywoman

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from Composition

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation
status		1..1	code	preliminary | final | amended | entered-in-error
type		1..1	CodeableConcept	Kind of composition (LOINC if possible)
subject		1..1	Reference(US Core Patient Profile)	Who and/or what the composition is about
date		1..1	dateTime	Composition editing time
author		1..1	Reference(BSeR Referral Initiator Practitioner Role)	Who and/or what authored the composition
title		1..1	string	Human Readable name/title
Slices for section		1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code
section:All Slices				Content/Rules for all slices
code		1..1	CodeableConcept	Classification of section (recommended)
section:obesityReferralSupportingInformation		0..*	BackboneElement	Composition is broken into sections
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ORSI
display		1..1	string	Representation defined by the system Fixed Value: Obesity Referral Supporting Information
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:allergyIntolerance		0..*	Reference(US Core AllergyIntolerance Profile)	A reference to data that supports this section
entry:bloodPressure		0..1	Reference(US Core Blood Pressure Profile)	A reference to data that supports this section
entry:bodyHeight		0..1	Reference(US Core Body Height Profile)	A reference to data that supports this section
entry:bodyWeight		0..1	Reference(US Core Body Weight Profile)	A reference to data that supports this section
entry:bmi		0..1	Reference(US Core BMI Profile)	A reference to data that supports this section
section:arthritisReferralSupportingInformation		0..*	BackboneElement	Composition is broken into sections
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ARSI
display		1..1	string	Representation defined by the system Fixed Value: Arthritis Referral Supporting Information
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:allergyIntolerance		0..*	Reference(US Core AllergyIntolerance Profile)	A reference to data that supports this section
entry:medicationStatement		0..*	Reference(BSeR Medication Statement)	A reference to data that supports this section
entry:bloodPressure		0..1	Reference(US Core Blood Pressure Profile)	A reference to data that supports this section
entry:bodyHeight		0..1	Reference(US Core Body Height Profile)	A reference to data that supports this section
entry:bodyWeight		0..1	Reference(US Core Body Weight Profile)	A reference to data that supports this section
entry:bmi		0..1	Reference(US Core BMI Profile)	A reference to data that supports this section
section:hypertensionReferralSupportingInformation		0..*	BackboneElement	Composition is broken into sections
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser
code		1..1	code	Symbol in syntax defined by the system Fixed Value: HRSI
display		1..1	string	Representation defined by the system Fixed Value: Hypertension Referral Supporting Information
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:diagnosis		0..*	Reference(BSeR Diagnosis)	A reference to data that supports this section
entry:bloodPressure		0..1	Reference(US Core Blood Pressure Profile)	A reference to data that supports this section
entry:bodyHeight		0..1	Reference(US Core Body Height Profile)	A reference to data that supports this section
entry:bodyWeight		0..1	Reference(US Core Body Weight Profile)	A reference to data that supports this section
entry:bmi		0..1	Reference(US Core BMI Profile)	A reference to data that supports this section
section:earlyChildhoodNutritionReferralSupportingInformation		0..*	BackboneElement	Composition is broken into sections
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ECNRSI
display		1..1	string	Representation defined by the system Fixed Value: Early Childhood Nutrition Referral Supporting Information
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:earlyChildhoodNutritionObservation		0..*	Reference(BSeR Early Childhood Nutrition Observation)	A reference to data that supports this section
entry:bloodPressure		0..1	Reference(US Core Blood Pressure Profile)	A reference to data that supports this section
entry:bodyHeight		0..1	Reference(US Core Body Height Profile)	A reference to data that supports this section
entry:bodyWeight		0..1	Reference(US Core Body Weight Profile)	A reference to data that supports this section
section:diabetesPreventionReferralSupportingInformation		0..*	BackboneElement	Composition is broken into sections
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DPRSI
display		1..1	string	Representation defined by the system Fixed Value: Diabetes Prevention Referral Supporting Information
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:HA1cObservation		0..1	Reference(BSeR HA1C Observation)	A reference to data that supports this section
entry:bloodPressure		0..1	Reference(US Core Blood Pressure Profile)	A reference to data that supports this section
entry:bodyHeight		0..1	Reference(US Core Body Height Profile)	A reference to data that supports this section
entry:bodyWeight		0..1	Reference(US Core Body Weight Profile)	A reference to data that supports this section
entry:bmi		0..1	Reference(US Core BMI Profile)	A reference to data that supports this section
section:tobaccoUseCessationReferralSupportingInformation		0..*	BackboneElement	Composition is broken into sections
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser
code		1..1	code	Symbol in syntax defined by the system Fixed Value: TUCRSI
display		1..1	string	Representation defined by the system Fixed Value: Tobacco Use Cessation Referral Supporting Information
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:nrtAuthorizationStatus		0..*	Reference(BSeR NRT Authorization Status)	A reference to data that supports this section
entry:smokingStatus		0..1	Reference(US Core Smoking Status Observation Profile)	A reference to data that supports this section
entry:telcomCommunicationPreferences		0..*	Reference(BSeR Telcom Communication Preferences)	A reference to data that supports this section
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	Σ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
subject	Σ	1..1	Reference(US Core Patient Profile)	Who and/or what the composition is about
date	Σ	1..1	dateTime	Composition editing time
author	Σ	1..1	Reference(BSeR Referral Initiator Practitioner Role)	Who and/or what authored the composition
title	Σ	1..1	string	Human Readable name/title
Slices for section	C	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
section:obesityReferralSupportingInformation	C	0..*	BackboneElement	Composition is broken into sections
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ORSI
display		1..1	string	Representation defined by the system Fixed Value: Obesity Referral Supporting Information
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:allergyIntolerance	C	0..*	Reference(US Core AllergyIntolerance Profile)	A reference to data that supports this section
entry:bloodPressure	C	0..1	Reference(US Core Blood Pressure Profile)	A reference to data that supports this section
entry:bodyHeight	C	0..1	Reference(US Core Body Height Profile)	A reference to data that supports this section
entry:bodyWeight	C	0..1	Reference(US Core Body Weight Profile)	A reference to data that supports this section
entry:bmi	C	0..1	Reference(US Core BMI Profile)	A reference to data that supports this section
section:arthritisReferralSupportingInformation	C	0..*	BackboneElement	Composition is broken into sections
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ARSI
display		1..1	string	Representation defined by the system Fixed Value: Arthritis Referral Supporting Information
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:allergyIntolerance	C	0..*	Reference(US Core AllergyIntolerance Profile)	A reference to data that supports this section
entry:medicationStatement	C	0..*	Reference(BSeR Medication Statement)	A reference to data that supports this section
entry:bloodPressure	C	0..1	Reference(US Core Blood Pressure Profile)	A reference to data that supports this section
entry:bodyHeight	C	0..1	Reference(US Core Body Height Profile)	A reference to data that supports this section
entry:bodyWeight	C	0..1	Reference(US Core Body Weight Profile)	A reference to data that supports this section
entry:bmi	C	0..1	Reference(US Core BMI Profile)	A reference to data that supports this section
section:hypertensionReferralSupportingInformation	C	0..*	BackboneElement	Composition is broken into sections
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser
code		1..1	code	Symbol in syntax defined by the system Fixed Value: HRSI
display		1..1	string	Representation defined by the system Fixed Value: Hypertension Referral Supporting Information
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:diagnosis	C	0..*	Reference(BSeR Diagnosis)	A reference to data that supports this section
entry:bloodPressure	C	0..1	Reference(US Core Blood Pressure Profile)	A reference to data that supports this section
entry:bodyHeight	C	0..1	Reference(US Core Body Height Profile)	A reference to data that supports this section
entry:bodyWeight	C	0..1	Reference(US Core Body Weight Profile)	A reference to data that supports this section
entry:bmi	C	0..1	Reference(US Core BMI Profile)	A reference to data that supports this section
section:earlyChildhoodNutritionReferralSupportingInformation	C	0..*	BackboneElement	Composition is broken into sections
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ECNRSI
display		1..1	string	Representation defined by the system Fixed Value: Early Childhood Nutrition Referral Supporting Information
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:earlyChildhoodNutritionObservation	C	0..*	Reference(BSeR Early Childhood Nutrition Observation)	A reference to data that supports this section
entry:bloodPressure	C	0..1	Reference(US Core Blood Pressure Profile)	A reference to data that supports this section
entry:bodyHeight	C	0..1	Reference(US Core Body Height Profile)	A reference to data that supports this section
entry:bodyWeight	C	0..1	Reference(US Core Body Weight Profile)	A reference to data that supports this section
section:diabetesPreventionReferralSupportingInformation	C	0..*	BackboneElement	Composition is broken into sections
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DPRSI
display		1..1	string	Representation defined by the system Fixed Value: Diabetes Prevention Referral Supporting Information
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:HA1cObservation	C	0..1	Reference(BSeR HA1C Observation)	A reference to data that supports this section
entry:bloodPressure	C	0..1	Reference(US Core Blood Pressure Profile)	A reference to data that supports this section
entry:bodyHeight	C	0..1	Reference(US Core Body Height Profile)	A reference to data that supports this section
entry:bodyWeight	C	0..1	Reference(US Core Body Weight Profile)	A reference to data that supports this section
entry:bmi	C	0..1	Reference(US Core BMI Profile)	A reference to data that supports this section
section:tobaccoUseCessationReferralSupportingInformation	C	0..*	BackboneElement	Composition is broken into sections
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser
code		1..1	code	Symbol in syntax defined by the system Fixed Value: TUCRSI
display		1..1	string	Representation defined by the system Fixed Value: Tobacco Use Cessation Referral Supporting Information
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:nrtAuthorizationStatus	C	0..*	Reference(BSeR NRT Authorization Status)	A reference to data that supports this section
entry:smokingStatus	C	0..1	Reference(US Core Smoking Status Observation Profile)	A reference to data that supports this section
entry:telcomCommunicationPreferences	C	0..*	Reference(BSeR Telcom Communication Preferences)	A reference to data that supports this section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Composition.status	required	CompositionStatus
Composition.type	preferred	FHIRDocumentTypeCodes
Composition.section.code	example	DocumentSectionCodes
Composition.section:obesityReferralSupportingInformation.code	example	Pattern: ORSI("Obesity Referral Supporting Information")
Composition.section:arthritisReferralSupportingInformation.code	example	Pattern: ARSI("Arthritis Referral Supporting Information")
Composition.section:hypertensionReferralSupportingInformation.code	example	Pattern: HRSI("Hypertension Referral Supporting Information")
Composition.section:earlyChildhoodNutritionReferralSupportingInformation.code	example	Pattern: ECNRSI("Early Childhood Nutrition Referral Supporting Information")
Composition.section:diabetesPreventionReferralSupportingInformation.code	example	Pattern: DPRSI("Diabetes Prevention Referral Supporting Information")
Composition.section:tobaccoUseCessationReferralSupportingInformation.code	example	Pattern: TUCRSI("Tobacco Use Cessation Referral Supporting Information")

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:obesityReferralSupportingInformation, Composition.section:arthritisReferralSupportingInformation, Composition.section:hypertensionReferralSupportingInformation, Composition.section:earlyChildhoodNutritionReferralSupportingInformation, Composition.section:diabetesPreventionReferralSupportingInformation, Composition.section:tobaccoUseCessationReferralSupportingInformation	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:obesityReferralSupportingInformation, Composition.section:arthritisReferralSupportingInformation, Composition.section:hypertensionReferralSupportingInformation, Composition.section:earlyChildhoodNutritionReferralSupportingInformation, Composition.section:diabetesPreventionReferralSupportingInformation, Composition.section:tobaccoUseCessationReferralSupportingInformation	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	Version-independent identifier for the Composition
status	?!Σ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	Σ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	Σ	1..1	Reference(US Core Patient Profile)	Who and/or what the composition is about
encounter	Σ	0..1	Reference(Encounter)	Context of the Composition
date	Σ	1..1	dateTime	Composition editing time
author	Σ	1..1	Reference(BSeR Referral Initiator Practitioner Role)	Who and/or what authored the composition
title	Σ	1..1	string	Human Readable name/title
confidentiality	Σ	0..1	code	As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
attester		0..*	BackboneElement	Attests to accuracy of composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time		0..1	dateTime	When the composition was attested
party		0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the composition
custodian	Σ	0..1	Reference(Organization)	Organization which maintains the composition
relatesTo		0..*	BackboneElement	Relationships to other compositions/documents
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x]		1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(Composition)
event	Σ	0..*	BackboneElement	The clinical service(s) being documented
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
Slices for section	C	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code
section:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:obesityReferralSupportingInformation	C	0..*	BackboneElement	Composition is broken into sections
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ORSI
display		1..1	string	Representation defined by the system Fixed Value: Obesity Referral Supporting Information
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:allergyIntolerance	C	0..*	Reference(US Core AllergyIntolerance Profile)	A reference to data that supports this section
entry:bloodPressure	C	0..1	Reference(US Core Blood Pressure Profile)	A reference to data that supports this section
entry:bodyHeight	C	0..1	Reference(US Core Body Height Profile)	A reference to data that supports this section
entry:bodyWeight	C	0..1	Reference(US Core Body Weight Profile)	A reference to data that supports this section
entry:bmi	C	0..1	Reference(US Core BMI Profile)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:arthritisReferralSupportingInformation	C	0..*	BackboneElement	Composition is broken into sections
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ARSI
display		1..1	string	Representation defined by the system Fixed Value: Arthritis Referral Supporting Information
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:allergyIntolerance	C	0..*	Reference(US Core AllergyIntolerance Profile)	A reference to data that supports this section
entry:medicationStatement	C	0..*	Reference(BSeR Medication Statement)	A reference to data that supports this section
entry:bloodPressure	C	0..1	Reference(US Core Blood Pressure Profile)	A reference to data that supports this section
entry:bodyHeight	C	0..1	Reference(US Core Body Height Profile)	A reference to data that supports this section
entry:bodyWeight	C	0..1	Reference(US Core Body Weight Profile)	A reference to data that supports this section
entry:bmi	C	0..1	Reference(US Core BMI Profile)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:hypertensionReferralSupportingInformation	C	0..*	BackboneElement	Composition is broken into sections
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: HRSI
display		1..1	string	Representation defined by the system Fixed Value: Hypertension Referral Supporting Information
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:diagnosis	C	0..*	Reference(BSeR Diagnosis)	A reference to data that supports this section
entry:bloodPressure	C	0..1	Reference(US Core Blood Pressure Profile)	A reference to data that supports this section
entry:bodyHeight	C	0..1	Reference(US Core Body Height Profile)	A reference to data that supports this section
entry:bodyWeight	C	0..1	Reference(US Core Body Weight Profile)	A reference to data that supports this section
entry:bmi	C	0..1	Reference(US Core BMI Profile)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:earlyChildhoodNutritionReferralSupportingInformation	C	0..*	BackboneElement	Composition is broken into sections
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ECNRSI
display		1..1	string	Representation defined by the system Fixed Value: Early Childhood Nutrition Referral Supporting Information
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:earlyChildhoodNutritionObservation	C	0..*	Reference(BSeR Early Childhood Nutrition Observation)	A reference to data that supports this section
entry:bloodPressure	C	0..1	Reference(US Core Blood Pressure Profile)	A reference to data that supports this section
entry:bodyHeight	C	0..1	Reference(US Core Body Height Profile)	A reference to data that supports this section
entry:bodyWeight	C	0..1	Reference(US Core Body Weight Profile)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:diabetesPreventionReferralSupportingInformation	C	0..*	BackboneElement	Composition is broken into sections
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DPRSI
display		1..1	string	Representation defined by the system Fixed Value: Diabetes Prevention Referral Supporting Information
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:HA1cObservation	C	0..1	Reference(BSeR HA1C Observation)	A reference to data that supports this section
entry:bloodPressure	C	0..1	Reference(US Core Blood Pressure Profile)	A reference to data that supports this section
entry:bodyHeight	C	0..1	Reference(US Core Body Height Profile)	A reference to data that supports this section
entry:bodyWeight	C	0..1	Reference(US Core Body Weight Profile)	A reference to data that supports this section
entry:bmi	C	0..1	Reference(US Core BMI Profile)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:tobaccoUseCessationReferralSupportingInformation	C	0..*	BackboneElement	Composition is broken into sections
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: TUCRSI
display		1..1	string	Representation defined by the system Fixed Value: Tobacco Use Cessation Referral Supporting Information
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:nrtAuthorizationStatus	C	0..*	Reference(BSeR NRT Authorization Status)	A reference to data that supports this section
entry:smokingStatus	C	0..1	Reference(US Core Smoking Status Observation Profile)	A reference to data that supports this section
entry:telcomCommunicationPreferences	C	0..*	Reference(BSeR Telcom Communication Preferences)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Composition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Composition.status	required	CompositionStatus
Composition.type	preferred	FHIRDocumentTypeCodes
Composition.category	example	DocumentClassValueSet
Composition.confidentiality	required	v3.ConfidentialityClassification
Composition.attester.mode	required	CompositionAttestationMode
Composition.relatesTo.code	required	DocumentRelationshipType
Composition.event.code	example	ActCode
Composition.section.code	example	DocumentSectionCodes
Composition.section.mode	required	ListMode
Composition.section.orderedBy	preferred	ListOrderCodes
Composition.section.emptyReason	preferred	ListEmptyReasons
Composition.section:obesityReferralSupportingInformation.code	example	Pattern: ORSI("Obesity Referral Supporting Information")
Composition.section:obesityReferralSupportingInformation.mode	required	ListMode
Composition.section:obesityReferralSupportingInformation.orderedBy	preferred	ListOrderCodes
Composition.section:obesityReferralSupportingInformation.emptyReason	preferred	ListEmptyReasons
Composition.section:arthritisReferralSupportingInformation.code	example	Pattern: ARSI("Arthritis Referral Supporting Information")
Composition.section:arthritisReferralSupportingInformation.mode	required	ListMode
Composition.section:arthritisReferralSupportingInformation.orderedBy	preferred	ListOrderCodes
Composition.section:arthritisReferralSupportingInformation.emptyReason	preferred	ListEmptyReasons
Composition.section:hypertensionReferralSupportingInformation.code	example	Pattern: HRSI("Hypertension Referral Supporting Information")
Composition.section:hypertensionReferralSupportingInformation.mode	required	ListMode
Composition.section:hypertensionReferralSupportingInformation.orderedBy	preferred	ListOrderCodes
Composition.section:hypertensionReferralSupportingInformation.emptyReason	preferred	ListEmptyReasons
Composition.section:earlyChildhoodNutritionReferralSupportingInformation.code	example	Pattern: ECNRSI("Early Childhood Nutrition Referral Supporting Information")
Composition.section:earlyChildhoodNutritionReferralSupportingInformation.mode	required	ListMode
Composition.section:earlyChildhoodNutritionReferralSupportingInformation.orderedBy	preferred	ListOrderCodes
Composition.section:earlyChildhoodNutritionReferralSupportingInformation.emptyReason	preferred	ListEmptyReasons
Composition.section:diabetesPreventionReferralSupportingInformation.code	example	Pattern: DPRSI("Diabetes Prevention Referral Supporting Information")
Composition.section:diabetesPreventionReferralSupportingInformation.mode	required	ListMode
Composition.section:diabetesPreventionReferralSupportingInformation.orderedBy	preferred	ListOrderCodes
Composition.section:diabetesPreventionReferralSupportingInformation.emptyReason	preferred	ListEmptyReasons
Composition.section:tobaccoUseCessationReferralSupportingInformation.code	example	Pattern: TUCRSI("Tobacco Use Cessation Referral Supporting Information")
Composition.section:tobaccoUseCessationReferralSupportingInformation.mode	required	ListMode
Composition.section:tobaccoUseCessationReferralSupportingInformation.orderedBy	preferred	ListOrderCodes
Composition.section:tobaccoUseCessationReferralSupportingInformation.emptyReason	preferred	ListEmptyReasons

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:obesityReferralSupportingInformation, Composition.section:arthritisReferralSupportingInformation, Composition.section:hypertensionReferralSupportingInformation, Composition.section:earlyChildhoodNutritionReferralSupportingInformation, Composition.section:diabetesPreventionReferralSupportingInformation, Composition.section:tobaccoUseCessationReferralSupportingInformation	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:obesityReferralSupportingInformation, Composition.section:arthritisReferralSupportingInformation, Composition.section:hypertensionReferralSupportingInformation, Composition.section:earlyChildhoodNutritionReferralSupportingInformation, Composition.section:diabetesPreventionReferralSupportingInformation, Composition.section:tobaccoUseCessationReferralSupportingInformation	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Composition

Summary

Mandatory: 8 elements (6 nested mandatory elements)

Structures

This structure refers to these other structures:

• US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)
• BSeR Referral Initiator Practitioner Role (http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralInitiatorPractitionerRole)
• US Core AllergyIntolerance Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance)
• US Core Blood Pressure Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure)
• US Core Body Height Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-height)
• US Core Body Weight Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight)
• US Core BMI Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi)
• BSeR Medication Statement (http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-MedicationStatement)
• BSeR Diagnosis (http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-Diagnosis)
• BSeR Early Childhood Nutrition Observation (http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-EarlyChildhoodNutritionObservation)
• BSeR HA1C Observation (http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-HA1C-Observation)
• BSeR NRT Authorization Status (http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-NRT-AuthorizationStatus)
• US Core Smoking Status Observation Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus)
• BSeR Telcom Communication Preferences (http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-TelcomCommunicationPreferences)

Slices

This structure defines the following Slices:

• The element Composition.section is sliced based on the value of value:code
• The element Composition.section.entry is sliced based on the value of profile:resolve()

Differential View

This structure is derived from Composition

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation
status		1..1	code	preliminary | final | amended | entered-in-error
type		1..1	CodeableConcept	Kind of composition (LOINC if possible)
subject		1..1	Reference(US Core Patient Profile)	Who and/or what the composition is about
date		1..1	dateTime	Composition editing time
author		1..1	Reference(BSeR Referral Initiator Practitioner Role)	Who and/or what authored the composition
title		1..1	string	Human Readable name/title
Slices for section		1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code
section:All Slices				Content/Rules for all slices
code		1..1	CodeableConcept	Classification of section (recommended)
section:obesityReferralSupportingInformation		0..*	BackboneElement	Composition is broken into sections
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ORSI
display		1..1	string	Representation defined by the system Fixed Value: Obesity Referral Supporting Information
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:allergyIntolerance		0..*	Reference(US Core AllergyIntolerance Profile)	A reference to data that supports this section
entry:bloodPressure		0..1	Reference(US Core Blood Pressure Profile)	A reference to data that supports this section
entry:bodyHeight		0..1	Reference(US Core Body Height Profile)	A reference to data that supports this section
entry:bodyWeight		0..1	Reference(US Core Body Weight Profile)	A reference to data that supports this section
entry:bmi		0..1	Reference(US Core BMI Profile)	A reference to data that supports this section
section:arthritisReferralSupportingInformation		0..*	BackboneElement	Composition is broken into sections
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ARSI
display		1..1	string	Representation defined by the system Fixed Value: Arthritis Referral Supporting Information
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:allergyIntolerance		0..*	Reference(US Core AllergyIntolerance Profile)	A reference to data that supports this section
entry:medicationStatement		0..*	Reference(BSeR Medication Statement)	A reference to data that supports this section
entry:bloodPressure		0..1	Reference(US Core Blood Pressure Profile)	A reference to data that supports this section
entry:bodyHeight		0..1	Reference(US Core Body Height Profile)	A reference to data that supports this section
entry:bodyWeight		0..1	Reference(US Core Body Weight Profile)	A reference to data that supports this section
entry:bmi		0..1	Reference(US Core BMI Profile)	A reference to data that supports this section
section:hypertensionReferralSupportingInformation		0..*	BackboneElement	Composition is broken into sections
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser
code		1..1	code	Symbol in syntax defined by the system Fixed Value: HRSI
display		1..1	string	Representation defined by the system Fixed Value: Hypertension Referral Supporting Information
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:diagnosis		0..*	Reference(BSeR Diagnosis)	A reference to data that supports this section
entry:bloodPressure		0..1	Reference(US Core Blood Pressure Profile)	A reference to data that supports this section
entry:bodyHeight		0..1	Reference(US Core Body Height Profile)	A reference to data that supports this section
entry:bodyWeight		0..1	Reference(US Core Body Weight Profile)	A reference to data that supports this section
entry:bmi		0..1	Reference(US Core BMI Profile)	A reference to data that supports this section
section:earlyChildhoodNutritionReferralSupportingInformation		0..*	BackboneElement	Composition is broken into sections
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ECNRSI
display		1..1	string	Representation defined by the system Fixed Value: Early Childhood Nutrition Referral Supporting Information
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:earlyChildhoodNutritionObservation		0..*	Reference(BSeR Early Childhood Nutrition Observation)	A reference to data that supports this section
entry:bloodPressure		0..1	Reference(US Core Blood Pressure Profile)	A reference to data that supports this section
entry:bodyHeight		0..1	Reference(US Core Body Height Profile)	A reference to data that supports this section
entry:bodyWeight		0..1	Reference(US Core Body Weight Profile)	A reference to data that supports this section
section:diabetesPreventionReferralSupportingInformation		0..*	BackboneElement	Composition is broken into sections
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DPRSI
display		1..1	string	Representation defined by the system Fixed Value: Diabetes Prevention Referral Supporting Information
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:HA1cObservation		0..1	Reference(BSeR HA1C Observation)	A reference to data that supports this section
entry:bloodPressure		0..1	Reference(US Core Blood Pressure Profile)	A reference to data that supports this section
entry:bodyHeight		0..1	Reference(US Core Body Height Profile)	A reference to data that supports this section
entry:bodyWeight		0..1	Reference(US Core Body Weight Profile)	A reference to data that supports this section
entry:bmi		0..1	Reference(US Core BMI Profile)	A reference to data that supports this section
section:tobaccoUseCessationReferralSupportingInformation		0..*	BackboneElement	Composition is broken into sections
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser
code		1..1	code	Symbol in syntax defined by the system Fixed Value: TUCRSI
display		1..1	string	Representation defined by the system Fixed Value: Tobacco Use Cessation Referral Supporting Information
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:nrtAuthorizationStatus		0..*	Reference(BSeR NRT Authorization Status)	A reference to data that supports this section
entry:smokingStatus		0..1	Reference(US Core Smoking Status Observation Profile)	A reference to data that supports this section
entry:telcomCommunicationPreferences		0..*	Reference(BSeR Telcom Communication Preferences)	A reference to data that supports this section
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	Σ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
subject	Σ	1..1	Reference(US Core Patient Profile)	Who and/or what the composition is about
date	Σ	1..1	dateTime	Composition editing time
author	Σ	1..1	Reference(BSeR Referral Initiator Practitioner Role)	Who and/or what authored the composition
title	Σ	1..1	string	Human Readable name/title
Slices for section	C	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
section:obesityReferralSupportingInformation	C	0..*	BackboneElement	Composition is broken into sections
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ORSI
display		1..1	string	Representation defined by the system Fixed Value: Obesity Referral Supporting Information
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:allergyIntolerance	C	0..*	Reference(US Core AllergyIntolerance Profile)	A reference to data that supports this section
entry:bloodPressure	C	0..1	Reference(US Core Blood Pressure Profile)	A reference to data that supports this section
entry:bodyHeight	C	0..1	Reference(US Core Body Height Profile)	A reference to data that supports this section
entry:bodyWeight	C	0..1	Reference(US Core Body Weight Profile)	A reference to data that supports this section
entry:bmi	C	0..1	Reference(US Core BMI Profile)	A reference to data that supports this section
section:arthritisReferralSupportingInformation	C	0..*	BackboneElement	Composition is broken into sections
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ARSI
display		1..1	string	Representation defined by the system Fixed Value: Arthritis Referral Supporting Information
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:allergyIntolerance	C	0..*	Reference(US Core AllergyIntolerance Profile)	A reference to data that supports this section
entry:medicationStatement	C	0..*	Reference(BSeR Medication Statement)	A reference to data that supports this section
entry:bloodPressure	C	0..1	Reference(US Core Blood Pressure Profile)	A reference to data that supports this section
entry:bodyHeight	C	0..1	Reference(US Core Body Height Profile)	A reference to data that supports this section
entry:bodyWeight	C	0..1	Reference(US Core Body Weight Profile)	A reference to data that supports this section
entry:bmi	C	0..1	Reference(US Core BMI Profile)	A reference to data that supports this section
section:hypertensionReferralSupportingInformation	C	0..*	BackboneElement	Composition is broken into sections
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser
code		1..1	code	Symbol in syntax defined by the system Fixed Value: HRSI
display		1..1	string	Representation defined by the system Fixed Value: Hypertension Referral Supporting Information
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:diagnosis	C	0..*	Reference(BSeR Diagnosis)	A reference to data that supports this section
entry:bloodPressure	C	0..1	Reference(US Core Blood Pressure Profile)	A reference to data that supports this section
entry:bodyHeight	C	0..1	Reference(US Core Body Height Profile)	A reference to data that supports this section
entry:bodyWeight	C	0..1	Reference(US Core Body Weight Profile)	A reference to data that supports this section
entry:bmi	C	0..1	Reference(US Core BMI Profile)	A reference to data that supports this section
section:earlyChildhoodNutritionReferralSupportingInformation	C	0..*	BackboneElement	Composition is broken into sections
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ECNRSI
display		1..1	string	Representation defined by the system Fixed Value: Early Childhood Nutrition Referral Supporting Information
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:earlyChildhoodNutritionObservation	C	0..*	Reference(BSeR Early Childhood Nutrition Observation)	A reference to data that supports this section
entry:bloodPressure	C	0..1	Reference(US Core Blood Pressure Profile)	A reference to data that supports this section
entry:bodyHeight	C	0..1	Reference(US Core Body Height Profile)	A reference to data that supports this section
entry:bodyWeight	C	0..1	Reference(US Core Body Weight Profile)	A reference to data that supports this section
section:diabetesPreventionReferralSupportingInformation	C	0..*	BackboneElement	Composition is broken into sections
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DPRSI
display		1..1	string	Representation defined by the system Fixed Value: Diabetes Prevention Referral Supporting Information
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:HA1cObservation	C	0..1	Reference(BSeR HA1C Observation)	A reference to data that supports this section
entry:bloodPressure	C	0..1	Reference(US Core Blood Pressure Profile)	A reference to data that supports this section
entry:bodyHeight	C	0..1	Reference(US Core Body Height Profile)	A reference to data that supports this section
entry:bodyWeight	C	0..1	Reference(US Core Body Weight Profile)	A reference to data that supports this section
entry:bmi	C	0..1	Reference(US Core BMI Profile)	A reference to data that supports this section
section:tobaccoUseCessationReferralSupportingInformation	C	0..*	BackboneElement	Composition is broken into sections
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser
code		1..1	code	Symbol in syntax defined by the system Fixed Value: TUCRSI
display		1..1	string	Representation defined by the system Fixed Value: Tobacco Use Cessation Referral Supporting Information
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:nrtAuthorizationStatus	C	0..*	Reference(BSeR NRT Authorization Status)	A reference to data that supports this section
entry:smokingStatus	C	0..1	Reference(US Core Smoking Status Observation Profile)	A reference to data that supports this section
entry:telcomCommunicationPreferences	C	0..*	Reference(BSeR Telcom Communication Preferences)	A reference to data that supports this section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Composition.status	required	CompositionStatus
Composition.type	preferred	FHIRDocumentTypeCodes
Composition.section.code	example	DocumentSectionCodes
Composition.section:obesityReferralSupportingInformation.code	example	Pattern: ORSI("Obesity Referral Supporting Information")
Composition.section:arthritisReferralSupportingInformation.code	example	Pattern: ARSI("Arthritis Referral Supporting Information")
Composition.section:hypertensionReferralSupportingInformation.code	example	Pattern: HRSI("Hypertension Referral Supporting Information")
Composition.section:earlyChildhoodNutritionReferralSupportingInformation.code	example	Pattern: ECNRSI("Early Childhood Nutrition Referral Supporting Information")
Composition.section:diabetesPreventionReferralSupportingInformation.code	example	Pattern: DPRSI("Diabetes Prevention Referral Supporting Information")
Composition.section:tobaccoUseCessationReferralSupportingInformation.code	example	Pattern: TUCRSI("Tobacco Use Cessation Referral Supporting Information")

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:obesityReferralSupportingInformation, Composition.section:arthritisReferralSupportingInformation, Composition.section:hypertensionReferralSupportingInformation, Composition.section:earlyChildhoodNutritionReferralSupportingInformation, Composition.section:diabetesPreventionReferralSupportingInformation, Composition.section:tobaccoUseCessationReferralSupportingInformation	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:obesityReferralSupportingInformation, Composition.section:arthritisReferralSupportingInformation, Composition.section:hypertensionReferralSupportingInformation, Composition.section:earlyChildhoodNutritionReferralSupportingInformation, Composition.section:diabetesPreventionReferralSupportingInformation, Composition.section:tobaccoUseCessationReferralSupportingInformation	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	Version-independent identifier for the Composition
status	?!Σ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	Σ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	Σ	1..1	Reference(US Core Patient Profile)	Who and/or what the composition is about
encounter	Σ	0..1	Reference(Encounter)	Context of the Composition
date	Σ	1..1	dateTime	Composition editing time
author	Σ	1..1	Reference(BSeR Referral Initiator Practitioner Role)	Who and/or what authored the composition
title	Σ	1..1	string	Human Readable name/title
confidentiality	Σ	0..1	code	As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
attester		0..*	BackboneElement	Attests to accuracy of composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time		0..1	dateTime	When the composition was attested
party		0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the composition
custodian	Σ	0..1	Reference(Organization)	Organization which maintains the composition
relatesTo		0..*	BackboneElement	Relationships to other compositions/documents
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x]		1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(Composition)
event	Σ	0..*	BackboneElement	The clinical service(s) being documented
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
Slices for section	C	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code
section:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:obesityReferralSupportingInformation	C	0..*	BackboneElement	Composition is broken into sections
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ORSI
display		1..1	string	Representation defined by the system Fixed Value: Obesity Referral Supporting Information
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:allergyIntolerance	C	0..*	Reference(US Core AllergyIntolerance Profile)	A reference to data that supports this section
entry:bloodPressure	C	0..1	Reference(US Core Blood Pressure Profile)	A reference to data that supports this section
entry:bodyHeight	C	0..1	Reference(US Core Body Height Profile)	A reference to data that supports this section
entry:bodyWeight	C	0..1	Reference(US Core Body Weight Profile)	A reference to data that supports this section
entry:bmi	C	0..1	Reference(US Core BMI Profile)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:arthritisReferralSupportingInformation	C	0..*	BackboneElement	Composition is broken into sections
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ARSI
display		1..1	string	Representation defined by the system Fixed Value: Arthritis Referral Supporting Information
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:allergyIntolerance	C	0..*	Reference(US Core AllergyIntolerance Profile)	A reference to data that supports this section
entry:medicationStatement	C	0..*	Reference(BSeR Medication Statement)	A reference to data that supports this section
entry:bloodPressure	C	0..1	Reference(US Core Blood Pressure Profile)	A reference to data that supports this section
entry:bodyHeight	C	0..1	Reference(US Core Body Height Profile)	A reference to data that supports this section
entry:bodyWeight	C	0..1	Reference(US Core Body Weight Profile)	A reference to data that supports this section
entry:bmi	C	0..1	Reference(US Core BMI Profile)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:hypertensionReferralSupportingInformation	C	0..*	BackboneElement	Composition is broken into sections
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: HRSI
display		1..1	string	Representation defined by the system Fixed Value: Hypertension Referral Supporting Information
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:diagnosis	C	0..*	Reference(BSeR Diagnosis)	A reference to data that supports this section
entry:bloodPressure	C	0..1	Reference(US Core Blood Pressure Profile)	A reference to data that supports this section
entry:bodyHeight	C	0..1	Reference(US Core Body Height Profile)	A reference to data that supports this section
entry:bodyWeight	C	0..1	Reference(US Core Body Weight Profile)	A reference to data that supports this section
entry:bmi	C	0..1	Reference(US Core BMI Profile)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:earlyChildhoodNutritionReferralSupportingInformation	C	0..*	BackboneElement	Composition is broken into sections
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ECNRSI
display		1..1	string	Representation defined by the system Fixed Value: Early Childhood Nutrition Referral Supporting Information
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:earlyChildhoodNutritionObservation	C	0..*	Reference(BSeR Early Childhood Nutrition Observation)	A reference to data that supports this section
entry:bloodPressure	C	0..1	Reference(US Core Blood Pressure Profile)	A reference to data that supports this section
entry:bodyHeight	C	0..1	Reference(US Core Body Height Profile)	A reference to data that supports this section
entry:bodyWeight	C	0..1	Reference(US Core Body Weight Profile)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:diabetesPreventionReferralSupportingInformation	C	0..*	BackboneElement	Composition is broken into sections
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DPRSI
display		1..1	string	Representation defined by the system Fixed Value: Diabetes Prevention Referral Supporting Information
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:HA1cObservation	C	0..1	Reference(BSeR HA1C Observation)	A reference to data that supports this section
entry:bloodPressure	C	0..1	Reference(US Core Blood Pressure Profile)	A reference to data that supports this section
entry:bodyHeight	C	0..1	Reference(US Core Body Height Profile)	A reference to data that supports this section
entry:bodyWeight	C	0..1	Reference(US Core Body Weight Profile)	A reference to data that supports this section
entry:bmi	C	0..1	Reference(US Core BMI Profile)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:tobaccoUseCessationReferralSupportingInformation	C	0..*	BackboneElement	Composition is broken into sections
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: TUCRSI
display		1..1	string	Representation defined by the system Fixed Value: Tobacco Use Cessation Referral Supporting Information
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:nrtAuthorizationStatus	C	0..*	Reference(BSeR NRT Authorization Status)	A reference to data that supports this section
entry:smokingStatus	C	0..1	Reference(US Core Smoking Status Observation Profile)	A reference to data that supports this section
entry:telcomCommunicationPreferences	C	0..*	Reference(BSeR Telcom Communication Preferences)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Composition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Composition.status	required	CompositionStatus
Composition.type	preferred	FHIRDocumentTypeCodes
Composition.category	example	DocumentClassValueSet
Composition.confidentiality	required	v3.ConfidentialityClassification
Composition.attester.mode	required	CompositionAttestationMode
Composition.relatesTo.code	required	DocumentRelationshipType
Composition.event.code	example	ActCode
Composition.section.code	example	DocumentSectionCodes
Composition.section.mode	required	ListMode
Composition.section.orderedBy	preferred	ListOrderCodes
Composition.section.emptyReason	preferred	ListEmptyReasons
Composition.section:obesityReferralSupportingInformation.code	example	Pattern: ORSI("Obesity Referral Supporting Information")
Composition.section:obesityReferralSupportingInformation.mode	required	ListMode
Composition.section:obesityReferralSupportingInformation.orderedBy	preferred	ListOrderCodes
Composition.section:obesityReferralSupportingInformation.emptyReason	preferred	ListEmptyReasons
Composition.section:arthritisReferralSupportingInformation.code	example	Pattern: ARSI("Arthritis Referral Supporting Information")
Composition.section:arthritisReferralSupportingInformation.mode	required	ListMode
Composition.section:arthritisReferralSupportingInformation.orderedBy	preferred	ListOrderCodes
Composition.section:arthritisReferralSupportingInformation.emptyReason	preferred	ListEmptyReasons
Composition.section:hypertensionReferralSupportingInformation.code	example	Pattern: HRSI("Hypertension Referral Supporting Information")
Composition.section:hypertensionReferralSupportingInformation.mode	required	ListMode
Composition.section:hypertensionReferralSupportingInformation.orderedBy	preferred	ListOrderCodes
Composition.section:hypertensionReferralSupportingInformation.emptyReason	preferred	ListEmptyReasons
Composition.section:earlyChildhoodNutritionReferralSupportingInformation.code	example	Pattern: ECNRSI("Early Childhood Nutrition Referral Supporting Information")
Composition.section:earlyChildhoodNutritionReferralSupportingInformation.mode	required	ListMode
Composition.section:earlyChildhoodNutritionReferralSupportingInformation.orderedBy	preferred	ListOrderCodes
Composition.section:earlyChildhoodNutritionReferralSupportingInformation.emptyReason	preferred	ListEmptyReasons
Composition.section:diabetesPreventionReferralSupportingInformation.code	example	Pattern: DPRSI("Diabetes Prevention Referral Supporting Information")
Composition.section:diabetesPreventionReferralSupportingInformation.mode	required	ListMode
Composition.section:diabetesPreventionReferralSupportingInformation.orderedBy	preferred	ListOrderCodes
Composition.section:diabetesPreventionReferralSupportingInformation.emptyReason	preferred	ListEmptyReasons
Composition.section:tobaccoUseCessationReferralSupportingInformation.code	example	Pattern: TUCRSI("Tobacco Use Cessation Referral Supporting Information")
Composition.section:tobaccoUseCessationReferralSupportingInformation.mode	required	ListMode
Composition.section:tobaccoUseCessationReferralSupportingInformation.orderedBy	preferred	ListOrderCodes
Composition.section:tobaccoUseCessationReferralSupportingInformation.emptyReason	preferred	ListEmptyReasons

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:obesityReferralSupportingInformation, Composition.section:arthritisReferralSupportingInformation, Composition.section:hypertensionReferralSupportingInformation, Composition.section:earlyChildhoodNutritionReferralSupportingInformation, Composition.section:diabetesPreventionReferralSupportingInformation, Composition.section:tobaccoUseCessationReferralSupportingInformation	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:obesityReferralSupportingInformation, Composition.section:arthritisReferralSupportingInformation, Composition.section:hypertensionReferralSupportingInformation, Composition.section:earlyChildhoodNutritionReferralSupportingInformation, Composition.section:diabetesPreventionReferralSupportingInformation, Composition.section:tobaccoUseCessationReferralSupportingInformation	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Composition

Summary

Mandatory: 8 elements (6 nested mandatory elements)

Structures

This structure refers to these other structures:

• US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)
• BSeR Referral Initiator Practitioner Role (http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralInitiatorPractitionerRole)
• US Core AllergyIntolerance Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance)
• US Core Blood Pressure Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure)
• US Core Body Height Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-height)
• US Core Body Weight Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight)
• US Core BMI Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi)
• BSeR Medication Statement (http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-MedicationStatement)
• BSeR Diagnosis (http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-Diagnosis)
• BSeR Early Childhood Nutrition Observation (http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-EarlyChildhoodNutritionObservation)
• BSeR HA1C Observation (http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-HA1C-Observation)
• BSeR NRT Authorization Status (http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-NRT-AuthorizationStatus)
• US Core Smoking Status Observation Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus)
• BSeR Telcom Communication Preferences (http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-TelcomCommunicationPreferences)

Slices

This structure defines the following Slices:

• The element Composition.section is sliced based on the value of value:code
• The element Composition.section.entry is sliced based on the value of profile:resolve()