MedNet interface implementation guide
0.12.0 - CI Build

MedNet interface implementation guide - Local Development build (v0.12.0). See the Directory of published versions

Resource Profile: MNIPatientOverviewComposition

Defining URL:https://mednet.swiss/fhir/StructureDefinition/mni-patientOverview-composition
Version:0.12.0
Name:MNIPatientOverviewComposition
Title:MedNet Interface (MNI) - PatientOverview Composition
Status:Draft as of 2021-01-17T00:00:00+00:00
Definition:

MedNet Interface (MNI) - PatientOverview Composition

Publisher:novcom AG
Copyright:

novcom AG

Source Resource:XML / JSON / Turtle

The official URL for this profile is:

https://mednet.swiss/fhir/StructureDefinition/mni-patientOverview-composition

Formal Views of Profile Content

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

This structure is derived from Clinical Document

Summary

Mandatory: 2 elements (40 nested mandatory elements)
Must-Support: 73 elements
Fixed Value: 14 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

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

This structure is derived from Clinical Document

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*Clinical DocumentMedNet Interface (MNI) - PatientOverview Composition
... id S0..1stringThe id is unique within the space of all resources of the same type on the same server It can be any combination of upper- or lower-case ASCII letters 'A'..'Z', and 'a'..'z', numerals ('0'..'9'), '-' and '.' with a length limit of 64 characters. (This might be an integer, an un-prefixed OID, UUID or any other identifier pattern that meets these constraints.)
... status S1..1codeThis version of the composition is complete and verified by an appropriate person and no further work is planned. Any subsequent updates would be on a new version of the composition.
Fixed Value: final
... type S1..1CodeableConceptFixed loinc code 60591-5 = Patient summary Document
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 60591-5
..... display1..1stringRepresentation defined by the system
Fixed Value: Patient summary Document
... encounter S0..1Reference(MedNet Interface (MNI) - Encounter)An encounter will provide information about the context in which the form will be filled It is mainly used to deliver MedNet the Visit Nr (or Case Nr), and/or the orderNr from the calling System. The goal of those values is to allow saving the copy of the form and/or the later resulting report in the calling system to an internal event. It can also include informations about the priority of the request (if it is urgent or not), or the type of form that should be filled.
... date S1..1dateTimeComposition editing time
... author S1..*Reference(MedNet Interface (MNI) - Device | MedNet Interface (MNI) - SoftwareUser)Who and/or what authored the composition
... title S1..1stringHuman Readable name/title
Fixed Value: PatientOverview
... confidentiality S1..1codeN = normal
Fixed Value: N
... section S0..*(Slice Definition)Composition is broken into sections
Slice: Unordered, Open by pattern:$this.code
.... section:insuranceData S0..1BackboneElementThis section will provide patient insurance information
..... title S1..1stringLabel for section (e.g. for ToC)
Fixed Value: Insurance data section
..... code S1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 76437-3
....... display1..1stringRepresentation defined by the system
Fixed Value: Primary insurance
..... entry S1..*(Slice Definition)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:Coverage S1..*Reference(MedNet Interface (MNI) - Coverage) {b}The coverage objects that will include all the informations about the insurances and invoices management
.... section:sectionMedications S0..1BackboneElementThis section will provide all the Medication taken by the patient
..... title S1..1stringLabel for section (e.g. for ToC)
Fixed Value: Medication Summary section
..... code S1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 10160-0
....... display1..1stringRepresentation defined by the system
Fixed Value: History of Medication use Narrative
..... entry S1..*(Slice Definition)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:medicationStatement S1..*Reference(MedNet Interface (MNI) - Medication Statement) {b}A record of a medication that is being consumed by a patient
.... section:sectionAllergies S0..1BackboneElementThis section will provide detailed information about allergies or intolerances of the patient (generally: Risk of adverse reaction to a substance)
..... title S1..1stringLabel for section (e.g. for ToC)
Fixed Value: Allergies section
..... code S1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 48765-2
....... display1..1stringRepresentation defined by the system
Fixed Value: Allergies and adverse reactions Document
..... entry S1..*(Slice Definition)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:allergyOrIntolerance S1..*Reference(MedNet Interface (MNI) - Allergy Intolerance) {b}An allergy or intolerance record
.... section:sectionProblems S0..1BackboneElementThis section will provide detailed information about conditions, problems or diagnoses (German = Diagnose, French = Diagnostics)
..... title S1..1stringLabel for section (e.g. for ToC)
Fixed Value: Problems section
..... code S1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 11450-4
....... display1..1stringRepresentation defined by the system
Fixed Value: Problem list - Reported
..... entry S1..*(Slice Definition)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:problem S1..*Reference(MedNet Interface (MNI) - Condition) {b}A problem record
.... section:sectionProceduresHx S0..1BackboneElementThis section will provide detailed information about actions that are or were performed on or for a patient. This can be physical interventions like an operations, or less invasive like long term services, counseling, or hypnotherapy. (German = Massnahme, French = Intervention)
..... title S1..1stringLabel for section (e.g. for ToC)
Fixed Value: Procedures section
..... code S1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 47519-4
....... display1..1stringRepresentation defined by the system
Fixed Value: History of Procedures Document
..... entry S1..*(Slice Definition)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:procedure S1..*Reference(MedNet Interface (MNI) - Procedure) {b}A procedure record
.... section:sectionResults S0..1BackboneElementThis section will provide some relevant laboratory observations
..... title S1..1stringLabel for section (e.g. for ToC)
Fixed Value: Results section
..... code S1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 30954-2
....... display1..1stringRepresentation defined by the system
Fixed Value: Relevant diagnostic tests/laboratory data Narrative
..... entry S1..*(Slice Definition)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:results-observation S1..*Reference(MedNet Interface (MNI) - Laboratory Observation) {b}Laboratory Observation
.... section:sectionVitalSigns S0..1BackboneElementThis section will provide detailed information about patient vital signs
..... title S1..1stringLabel for section (e.g. for ToC)
Fixed Value: Vital signs section
..... code S1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 8716-3
....... display1..1stringRepresentation defined by the system
Fixed Value: Vital signs
..... entry S1..*(Slice Definition)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:bodyWeight S0..1Reference(MedNet Interface (MNI) - Body Weight) {b}Body Weight of the patient
...... entry:bodyHeight S0..1Reference(MedNet Interface (MNI) - Body Height) {b}Bodyheight of the patient
...... entry:bodyMassIndex S0..1Reference(MedNet Interface (MNI) - Body Mass Index) {b}Body Mass Index of the patient
...... entry:bloodPressure S0..1Reference(MedNet Interface (MNI) - Blood Pressure) {b}Blood pressure of the patient
...... entry:bloodGroup S0..1Reference(MedNet Interface (MNI) - Blood Group) {b}Blood group of the patient
.... section:sectionSocialHistory S0..1BackboneElementThis section will provide detailed information potential outcomes and family members cases
..... title S1..1stringLabel for section (e.g. for ToC)
Fixed Value: Social history section
..... code S1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 29762-2
....... display1..1stringRepresentation defined by the system
Fixed Value: Social history Narrative
..... entry S1..*(Slice Definition)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:riskFactors S0..*Reference(MedNet Interface (MNI) - Risk Factor) {b}Potential outcomes for a subject with likelihood (CAVE). (German = Risiko Factor , French = Facteur de risque )
...... entry:familyMemberHistory S0..*Reference(MedNet Interface (MNI) - Family Member History) {b}Information about patient's relatives, relevant for patient. (German = Familienanamnese, French = Anamnèse familiale
.... section:sectionPregnancyHx S0..1BackboneElementThis section will provide medical informations dedicated to pregnancy. This section must be delivered only if the patient is Pregnant.
..... title S1..1stringLabel for section (e.g. for ToC)
Fixed Value: Pregnancy section
..... code S1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 10162-6
....... display1..1stringRepresentation defined by the system
Fixed Value: History of pregnancies Narrative
..... entry S0..*(Slice Definition)A reference to pregnancy information. If no entry is specified, but the section exists, it means that the Patient is pregnant but no additional informations are available
Slice: Unordered, Open by profile:resolve()
...... entry:estimatedDateOfConception S0..1Reference(MedNet Interface (MNI) - Estimated date of conception) {b}Estimated date of conception (German = Geschätzte Konzeptions Datum, French = Date de conception estimée)
...... entry:estimatedDateOfDelivery S0..1Reference(MedNet Interface (MNI) - Estimated date of delivery) {b}Estimated date of delivery (German = Geplante Geburts Datum, French = Date d'accouchement prévue)
...... entry:dateOfLastMenstruation S0..1Reference(MedNet Interface (MNI) - First day of last menstruation) {b}Date of last menstruation (German = Ersten Tag der letzte Monatsblutung, French = Premier jour des dernières règles)
...... entry:timeOfGestation S0..1Reference(MedNet Interface (MNI) - Time of gestation) {b}Time of gestation (German = Tage/Woche seit Schwangerschaft Beginn / Schwangerschaftswoche / SSW, French = Nombre de jour/semaine depuis le début de la grossesse)
.... section:annotations S0..1BackboneElementThis section will provide information that can not be structured in the previous sections but that can be usefull for filling a form.
..... title S1..1stringLabel for section (e.g. for ToC)
Fixed Value: Comment
..... code S1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 48767-8
....... display1..1stringRepresentation defined by the system
Fixed Value: Annotation comment [Interpretation] Narrative
..... entry S1..*(Slice Definition)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:observation S1..*Reference(MedNet Interface (MNI) - Annotation Observation) {b}An annotation observation record
.... section:documents S0..1BackboneElementThis section will provide relevant documents
..... title S1..1stringLabel for section (e.g. for ToC)
Fixed Value: Documents section
..... code S1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 51899-3
....... display1..1stringRepresentation defined by the system
Fixed Value: Details Document
..... entry S1..*(Slice Definition)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:Document S1..*Reference(MedNet Interface (MNI) - DocumentReference) {b}Document

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*Clinical DocumentMedNet Interface (MNI) - PatientOverview Composition
... id SΣ0..1stringThe id is unique within the space of all resources of the same type on the same server It can be any combination of upper- or lower-case ASCII letters 'A'..'Z', and 'a'..'z', numerals ('0'..'9'), '-' and '.' with a length limit of 64 characters. (This might be an integer, an un-prefixed OID, UUID or any other identifier pattern that meets these constraints.)
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... composition-clinicaldocument-versionNumber 0..*stringVersion-specific identifier for composition
URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..1IdentifierVersion-independent identifier for the Composition
... status ?!SΣ1..1codeThis version of the composition is complete and verified by an appropriate person and no further work is planned. Any subsequent updates would be on a new version of the composition.
Binding: CompositionStatus (required): The workflow/clinical status of the composition.


Fixed Value: final
... type SΣ1..1CodeableConceptFixed loinc code 60591-5 = Patient summary Document
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.


Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 60591-5
..... display1..1stringRepresentation defined by the system
Fixed Value: Patient summary Document
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... category Σ0..*CodeableConceptCategorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.


... subject SΣ1..1Reference(MedNet Interface (MNI) - Patient)Link to the Patient
... encounter SΣ0..1Reference(MedNet Interface (MNI) - Encounter)An encounter will provide information about the context in which the form will be filled It is mainly used to deliver MedNet the Visit Nr (or Case Nr), and/or the orderNr from the calling System. The goal of those values is to allow saving the copy of the form and/or the later resulting report in the calling system to an internal event. It can also include informations about the priority of the request (if it is urgent or not), or the type of form that should be filled.
... date SΣ1..1dateTimeComposition editing time
... author SΣ1..*Reference(MedNet Interface (MNI) - Device | MedNet Interface (MNI) - SoftwareUser)Who and/or what authored the composition
... title SΣ1..1stringHuman Readable name/title
Fixed Value: PatientOverview
... confidentiality SΣ1..1codeN = normal
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.


Fixed Value: N
... attester 0..*BackboneElementAttests to accuracy of composition
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... mode 1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

.... time 0..1dateTimeWhen the composition was attested
.... party 0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)Who attested the composition
... custodian Σ0..1Reference(Organization)Organization which maintains the composition
... relatesTo 0..*BackboneElementRelationships to other compositions/documents
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 1..1codereplaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

.... target[x] 1..1Target of the relationship
..... targetIdentifierIdentifier
..... targetReferenceReference(Composition)
... event Σ0..*BackboneElementThe clinical service(s) being documented
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ0..*CodeableConceptCode(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 Σ0..1PeriodThe period covered by the documentation
.... detail Σ0..*Reference(Resource)The event(s) being documented
... section SI0..*(Slice Definition)Composition is broken into sections
Slice: Unordered, Open by pattern:$this.code
.... section:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptClassification 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..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry I0..*Reference(Resource)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:insuranceData SI0..1BackboneElementThis section will provide patient insurance information
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S1..1stringLabel for section (e.g. for ToC)
Fixed Value: Insurance data section
..... code S1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 76437-3
....... display1..1stringRepresentation defined by the system
Fixed Value: Primary insurance
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry SI1..*(Slice Definition)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:Coverage SI1..*Reference(MedNet Interface (MNI) - Coverage) {b}The coverage objects that will include all the informations about the insurances and invoices management
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:sectionMedications SI0..1BackboneElementThis section will provide all the Medication taken by the patient
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S1..1stringLabel for section (e.g. for ToC)
Fixed Value: Medication Summary section
..... code S1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 10160-0
....... display1..1stringRepresentation defined by the system
Fixed Value: History of Medication use Narrative
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry SI1..*(Slice Definition)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:medicationStatement SI1..*Reference(MedNet Interface (MNI) - Medication Statement) {b}A record of a medication that is being consumed by a patient
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:sectionAllergies SI0..1BackboneElementThis section will provide detailed information about allergies or intolerances of the patient (generally: Risk of adverse reaction to a substance)
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S1..1stringLabel for section (e.g. for ToC)
Fixed Value: Allergies section
..... code S1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 48765-2
....... display1..1stringRepresentation defined by the system
Fixed Value: Allergies and adverse reactions Document
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry SI1..*(Slice Definition)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:allergyOrIntolerance SI1..*Reference(MedNet Interface (MNI) - Allergy Intolerance) {b}An allergy or intolerance record
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:sectionProblems SI0..1BackboneElementThis section will provide detailed information about conditions, problems or diagnoses (German = Diagnose, French = Diagnostics)
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S1..1stringLabel for section (e.g. for ToC)
Fixed Value: Problems section
..... code S1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 11450-4
....... display1..1stringRepresentation defined by the system
Fixed Value: Problem list - Reported
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry SI1..*(Slice Definition)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:problem SI1..*Reference(MedNet Interface (MNI) - Condition) {b}A problem record
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:sectionProceduresHx SI0..1BackboneElementThis section will provide detailed information about actions that are or were performed on or for a patient. This can be physical interventions like an operations, or less invasive like long term services, counseling, or hypnotherapy. (German = Massnahme, French = Intervention)
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S1..1stringLabel for section (e.g. for ToC)
Fixed Value: Procedures section
..... code S1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 47519-4
....... display1..1stringRepresentation defined by the system
Fixed Value: History of Procedures Document
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry SI1..*(Slice Definition)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:procedure SI1..*Reference(MedNet Interface (MNI) - Procedure) {b}A procedure record
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:sectionResults SI0..1BackboneElementThis section will provide some relevant laboratory observations
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S1..1stringLabel for section (e.g. for ToC)
Fixed Value: Results section
..... code S1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 30954-2
....... display1..1stringRepresentation defined by the system
Fixed Value: Relevant diagnostic tests/laboratory data Narrative
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry SI1..*(Slice Definition)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:results-observation SI1..*Reference(MedNet Interface (MNI) - Laboratory Observation) {b}Laboratory Observation
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:sectionVitalSigns SI0..1BackboneElementThis section will provide detailed information about patient vital signs
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S1..1stringLabel for section (e.g. for ToC)
Fixed Value: Vital signs section
..... code S1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 8716-3
....... display1..1stringRepresentation defined by the system
Fixed Value: Vital signs
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry SI1..*(Slice Definition)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:bodyWeight SI0..1Reference(MedNet Interface (MNI) - Body Weight) {b}Body Weight of the patient
...... entry:bodyHeight SI0..1Reference(MedNet Interface (MNI) - Body Height) {b}Bodyheight of the patient
...... entry:bodyMassIndex SI0..1Reference(MedNet Interface (MNI) - Body Mass Index) {b}Body Mass Index of the patient
...... entry:bloodPressure SI0..1Reference(MedNet Interface (MNI) - Blood Pressure) {b}Blood pressure of the patient
...... entry:bloodGroup SI0..1Reference(MedNet Interface (MNI) - Blood Group) {b}Blood group of the patient
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:sectionSocialHistory SI0..1BackboneElementThis section will provide detailed information potential outcomes and family members cases
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S1..1stringLabel for section (e.g. for ToC)
Fixed Value: Social history section
..... code S1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 29762-2
....... display1..1stringRepresentation defined by the system
Fixed Value: Social history Narrative
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry SI1..*(Slice Definition)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:riskFactors SI0..*Reference(MedNet Interface (MNI) - Risk Factor) {b}Potential outcomes for a subject with likelihood (CAVE). (German = Risiko Factor , French = Facteur de risque )
...... entry:familyMemberHistory SI0..*Reference(MedNet Interface (MNI) - Family Member History) {b}Information about patient's relatives, relevant for patient. (German = Familienanamnese, French = Anamnèse familiale
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:sectionPregnancyHx SI0..1BackboneElementThis section will provide medical informations dedicated to pregnancy. This section must be delivered only if the patient is Pregnant.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S1..1stringLabel for section (e.g. for ToC)
Fixed Value: Pregnancy section
..... code S1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 10162-6
....... display1..1stringRepresentation defined by the system
Fixed Value: History of pregnancies Narrative
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry SI0..*(Slice Definition)A reference to pregnancy information. If no entry is specified, but the section exists, it means that the Patient is pregnant but no additional informations are available
Slice: Unordered, Open by profile:resolve()
...... entry:estimatedDateOfConception SI0..1Reference(MedNet Interface (MNI) - Estimated date of conception) {b}Estimated date of conception (German = Geschätzte Konzeptions Datum, French = Date de conception estimée)
...... entry:estimatedDateOfDelivery SI0..1Reference(MedNet Interface (MNI) - Estimated date of delivery) {b}Estimated date of delivery (German = Geplante Geburts Datum, French = Date d'accouchement prévue)
...... entry:dateOfLastMenstruation SI0..1Reference(MedNet Interface (MNI) - First day of last menstruation) {b}Date of last menstruation (German = Ersten Tag der letzte Monatsblutung, French = Premier jour des dernières règles)
...... entry:timeOfGestation SI0..1Reference(MedNet Interface (MNI) - Time of gestation) {b}Time of gestation (German = Tage/Woche seit Schwangerschaft Beginn / Schwangerschaftswoche / SSW, French = Nombre de jour/semaine depuis le début de la grossesse)
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:annotations SI0..1BackboneElementThis section will provide information that can not be structured in the previous sections but that can be usefull for filling a form.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S1..1stringLabel for section (e.g. for ToC)
Fixed Value: Comment
..... code S1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 48767-8
....... display1..1stringRepresentation defined by the system
Fixed Value: Annotation comment [Interpretation] Narrative
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry SI1..*(Slice Definition)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:observation SI1..*Reference(MedNet Interface (MNI) - Annotation Observation) {b}An annotation observation record
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:documents SI0..1BackboneElementThis section will provide relevant documents
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S1..1stringLabel for section (e.g. for ToC)
Fixed Value: Documents section
..... code S1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 51899-3
....... display1..1stringRepresentation defined by the system
Fixed Value: Details Document
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry SI1..*(Slice Definition)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:Document SI1..*Reference(MedNet Interface (MNI) - DocumentReference) {b}Document
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*Clinical DocumentMedNet Interface (MNI) - PatientOverview Composition
... id Σ0..1stringThe id is unique within the space of all resources of the same type on the same server It can be any combination of upper- or lower-case ASCII letters 'A'..'Z', and 'a'..'z', numerals ('0'..'9'), '-' and '.' with a length limit of 64 characters. (This might be an integer, an un-prefixed OID, UUID or any other identifier pattern that meets these constraints.)
... status ?!Σ1..1codeThis version of the composition is complete and verified by an appropriate person and no further work is planned. Any subsequent updates would be on a new version of the composition.
Binding: CompositionStatus (required): The workflow/clinical status of the composition.


Fixed Value: final
... type Σ1..1CodeableConceptFixed loinc code 60591-5 = Patient summary Document
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.


Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 60591-5
....