MedComConditionListComposition - DK MedCom Condition List v1.0.0

DK MedCom Condition List
1.0.0 - release

This page is part of the DK MedCom Condition List (v1.0.0: Release) based on FHIR (HL7® FHIR® Standard) R4. . For a full list of available versions, see the Directory of published versions

Resource Profile: MedComConditionListComposition

Official URL: http://medcomfhir.dk/ig/conditionlist/StructureDefinition/medcom-conditionlist-composition				Version: 1.0.0
Active as of 2024-11-15				Computable Name: MedComConditionListComposition

A profile for the MedCom ConditionList Composition resource.

Scope and usage

The MedComDocumentComposition profile defines the structure and narrative content necessary for a document. However, a Composition alone does not constitute a document. Rather, the Composition must be the first entry in a Bundle where Bundle.type is 'document', and any other resources referenced from Composition must be included as subsequent entries in the Bundle.entry element. The Composition resource organizes clinical and administrative content into sections, each of which contains a narrative, and references other resources.

Element requirements

The Composition.section.entry for this standard is the diagnoses which are represented in the MedComConditionListCondition profile. Therefore, is the Composition.section.entry restricted to only reference that profile.

The Composition.title must be (in Danish) "Diagnoseoversigt for 'CPR-nummer'", where 'CPR-nummer' is the actual identifier for the patient (Patient.identifier.value).

The Composition.type is fixed to the LOINC code "11450-4 Problem List", as it represents the content of the document on a high level.

Usage:

Formal Views of Profile Content

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

This structure is derived from MedComDocumentComposition

Name	Flags	Card.	Type	Description & Constraints
Composition			MedComDocumentComposition
language		1..1	code	Language of the resource content Required Pattern: da
type		1..1	CodeableConcept	Kind of composition (LOINC if possible) 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11450-4
display		1..1	string	Representation defined by the system Fixed Value: Problem list - Reported
coding	S	0..*	Coding	Code defined by a terminology system
date		1..1	dateTime	Last update of the condition list
Slices for author				Content/Rules for all slices
author:institution		1..1	Reference(MedComConditionListOrganization)	The organization who authored the document
title		1..1	string	Expected: 'Diagnoseoversigt for CPR-nummer'
confidentiality		1..1	code	As defined by affinity domain Required Pattern: N
section
entry		1..*	Reference(MedComConditionListCondition)	A reference to data that supports this section
Documentation for this format

Description & Constraints

Composition

0..*

MedComDocumentComposition

A set of resources composed into a single coherent clinical statement with clinical attestation

meta

Σ

0..1

Meta

Metadata about the resource

profile

SΣ

1..1

canonical(StructureDefinition)

Profiles this resource claims to conform to

implicitRules

?!Σ

0..1

uri

A set of rules under which this content was created

language

S

1..1

code

Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional Bindings

Purpose

AllLanguages

Max Binding

Required Pattern: da

text

S

0..1

Narrative

Text summary of the resource, for human interpretation

modifierExtension

?!

0..*

Extension

Extensions that cannot be ignored

status

?!SΣ

1..1

code

preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

Required Pattern: final

type

SΣ

1..1

CodeableConcept

Kind of composition (LOINC if possible)
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.

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://loinc.org

code

1..1

code

Symbol in syntax defined by the system
Fixed Value: 11450-4

display

1..1

string

Representation defined by the system
Fixed Value: Problem list - Reported

coding

SΣ

0..*

Coding

Code defined by a terminology system

subject

SΣ

1..1

Reference(MedComDocumentPatient) {b }

Who and/or what the composition is about

date

SΣ

1..1

dateTime

Last update of the condition list

Slices for author

Σ

1..*

Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) {b }

Who and/or what authored the composition
Slice: Unordered, Closed by type:$this.resolve()

author:institution

SΣ

1..1

Reference(MedComConditionListOrganization)

The organization who authored the document

author:person

SΣ

0..1

Reference(MedComDocumentPractitioner)

The person who authored the document

title

SΣ

1..1

string

Expected: 'Diagnoseoversigt for **CPR-nummer**'

confidentiality

SΣ

1..1

code

As defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

Required Pattern: N

attester

S

0..1

BackboneElement

Attests to accuracy of composition

modifierExtension

?!Σ

0..*

Extension

Extensions that cannot be ignored even if unrecognized

mode

S

1..1

code

personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

party

S

0..1

Reference(MedComDocumentPractitioner) {b }

Who attested the composition

event

SΣ

0..1

BackboneElement

The clinical service(s) being documented

modifierExtension

?!Σ

0..*

Extension

Extensions that cannot be ignored even if unrecognized

code

SΣ

0..1

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

start

SΣC

0..1

dateTime

Starting time with inclusive boundary

end

SΣC

0..1

dateTime

End time with inclusive boundary, if not ongoing

detail

SΣ

0..*

Reference(Resource)

The event(s) being documented

section

SC

1..*

BackboneElement

Composition is broken into sections
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty

modifierExtension

?!Σ

0..*

Extension

Extensions that cannot be ignored even if unrecognized

text

SC

0..1

Narrative

Text summary of the section, for human interpretation

entry

SC

1..*

Reference(MedComConditionListCondition)

A reference to data that supports this section

Documentation for this format

Terminology Bindings

Path Conformance ValueSet / Code URI

Composition.language

preferred

Pattern: da

Additional Bindings

Purpose

AllLanguages

Max Binding

http://hl7.org/fhir/ValueSet/languages

from the FHIR Standard

Composition.status

required

Pattern: final

http://hl7.org/fhir/ValueSet/composition-status|4.0.1

from the FHIR Standard

Composition.type

preferred

Pattern: LOINC Code 11450-4("Problem list - Reported")

http://hl7.org/fhir/ValueSet/doc-typecodes

from the FHIR Standard

Composition.confidentiality

required

Pattern: N

http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26

from the FHIR Standard

Composition.attester.mode

required

CompositionAttestationMode

http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1

from the FHIR Standard

Composition.event.code

example

ActCode

http://terminology.hl7.org/ValueSet/v3-ActCode

Description & Constraints

Composition

0..*

MedComDocumentComposition

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

id

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

versionId

Σ

0..1

id

Version specific identifier

lastUpdated

Σ

0..1

instant

When the resource version last changed

source

Σ

0..1

uri

Identifies where the resource comes from

profile

SΣ

1..1

canonical(StructureDefinition)

Profiles this resource claims to conform to

security

Σ

0..*

Coding

Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.

tag

Σ

0..*

Coding

Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".

implicitRules

?!Σ

0..1

uri

A set of rules under which this content was created

language

S

1..1

code

Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional Bindings

Purpose

AllLanguages

Max Binding

Required Pattern: da

text

S

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

?!SΣ

1..1

code

preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

Required Pattern: final

type

SΣ

1..1

CodeableConcept

Kind of composition (LOINC if possible)
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.

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://loinc.org

version

0..1

string

Version of the system - if relevant

code

1..1

code

Symbol in syntax defined by the system
Fixed Value: 11450-4

display

1..1

string

Representation defined by the system
Fixed Value: Problem list - Reported

userSelected

0..1

boolean

If this coding was chosen directly by the user

text

0..1

string

Plain text representation of the concept

id

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

coding

SΣ

0..*

Coding

Code defined by a terminology system

text

Σ

0..1

string

Plain text representation of the concept

Terminology Bindings

Path Conformance ValueSet / Code URI

Composition.meta.security

extensible

All Security Labels

http://hl7.org/fhir/ValueSet/security-labels

from the FHIR Standard

Composition.meta.tag

example

CommonTags

http://hl7.org/fhir/ValueSet/common-tags

from the FHIR Standard

Composition.language

preferred

Pattern: da

Additional Bindings

Purpose

AllLanguages

Max Binding

http://hl7.org/fhir/ValueSet/languages

from the FHIR Standard

Composition.status

required

Pattern: final

http://hl7.org/fhir/ValueSet/composition-status|4.0.1

from the FHIR Standard

Composition.type

preferred

Pattern: LOINC Code 11450-4("Problem list - Reported")

http://hl7.org/fhir/ValueSet/doc-typecodes

from the FHIR Standard

Composition.category

example

DocumentClassValueSet

http://hl7.org/fhir/ValueSet/document-classcodes

from the FHIR Standard

Composition.confidentiality

required

Pattern: N

http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26

from the FHIR Standard

Composition.attester.mode

required

CompositionAttestationMode

http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1

from the FHIR Standard

Composition.relatesTo.code

required

DocumentRelationshipType

http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1

from the FHIR Standard

Composition.event.code

example

ActCode

http://terminology.hl7.org/ValueSet/v3-ActCode

Composition.section.code

example

DocumentSectionCodes

http://hl7.org/fhir/ValueSet/doc-section-codes

from the FHIR Standard

Composition.section.mode

required

ListMode

http://hl7.org/fhir/ValueSet/list-mode|4.0.1

from the FHIR Standard

Composition.section.orderedBy

preferred

ListOrderCodes

http://hl7.org/fhir/ValueSet/list-order

from the FHIR Standard

Composition.section.emptyReason

preferred

ListEmptyReasons

http://hl7.org/fhir/ValueSet/list-empty-reason

from the FHIR Standard

This structure is derived from MedComDocumentComposition

Summary

Mandatory: 1 element
Must-Support: 1 element

Structures

This structure refers to these other structures:

Differential View

This structure is derived from MedComDocumentComposition

Name	Flags	Card.	Type	Description & Constraints
Composition			MedComDocumentComposition
language		1..1	code	Language of the resource content Required Pattern: da
type		1..1	CodeableConcept	Kind of composition (LOINC if possible) 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11450-4
display		1..1	string	Representation defined by the system Fixed Value: Problem list - Reported
coding	S	0..*	Coding	Code defined by a terminology system
date		1..1	dateTime	Last update of the condition list
Slices for author				Content/Rules for all slices
author:institution		1..1	Reference(MedComConditionListOrganization)	The organization who authored the document
title		1..1	string	Expected: 'Diagnoseoversigt for CPR-nummer'
confidentiality		1..1	code	As defined by affinity domain Required Pattern: N
section
entry		1..*	Reference(MedComConditionListCondition)	A reference to data that supports this section
Documentation for this format

Key Elements View

Description & Constraints

Composition

0..*

MedComDocumentComposition

A set of resources composed into a single coherent clinical statement with clinical attestation

meta

Σ

0..1

Meta

Metadata about the resource

profile

SΣ

1..1

canonical(StructureDefinition)

Profiles this resource claims to conform to

implicitRules

?!Σ

0..1

uri

A set of rules under which this content was created

language

S

1..1

code

Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional Bindings

Purpose

AllLanguages

Max Binding

Required Pattern: da

text

S

0..1

Narrative

Text summary of the resource, for human interpretation

modifierExtension

?!

0..*

Extension

Extensions that cannot be ignored

status

?!SΣ

1..1

code

preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

Required Pattern: final

type

SΣ

1..1

CodeableConcept

Kind of composition (LOINC if possible)
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.

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://loinc.org

code

1..1

code

Symbol in syntax defined by the system
Fixed Value: 11450-4

display

1..1

string

Representation defined by the system
Fixed Value: Problem list - Reported

coding

SΣ

0..*

Coding

Code defined by a terminology system

subject

SΣ

1..1

Reference(MedComDocumentPatient) {b }

Who and/or what the composition is about

date

SΣ

1..1

dateTime

Last update of the condition list

Slices for author

Σ

1..*

Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) {b }

Who and/or what authored the composition
Slice: Unordered, Closed by type:$this.resolve()

author:institution

SΣ

1..1

Reference(MedComConditionListOrganization)

The organization who authored the document

author:person

SΣ

0..1

Reference(MedComDocumentPractitioner)

The person who authored the document

title

SΣ

1..1

string

Expected: 'Diagnoseoversigt for **CPR-nummer**'

confidentiality

SΣ

1..1

code

As defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

Required Pattern: N

attester

S

0..1

BackboneElement

Attests to accuracy of composition

modifierExtension

?!Σ

0..*

Extension

Extensions that cannot be ignored even if unrecognized

mode

S

1..1

code

personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

party

S

0..1

Reference(MedComDocumentPractitioner) {b }

Who attested the composition

event

SΣ

0..1

BackboneElement

The clinical service(s) being documented

modifierExtension

?!Σ

0..*

Extension

Extensions that cannot be ignored even if unrecognized

code

SΣ

0..1

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

start

SΣC

0..1

dateTime

Starting time with inclusive boundary

end

SΣC

0..1

dateTime

End time with inclusive boundary, if not ongoing

detail

SΣ

0..*

Reference(Resource)

The event(s) being documented

section

SC

1..*

BackboneElement

Composition is broken into sections
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty

modifierExtension

?!Σ

0..*

Extension

Extensions that cannot be ignored even if unrecognized

text

SC

0..1

Narrative

Text summary of the section, for human interpretation

entry

SC

1..*

Reference(MedComConditionListCondition)

A reference to data that supports this section

Documentation for this format

Terminology Bindings

Path Conformance ValueSet / Code URI

Composition.language

preferred

Pattern: da

Additional Bindings

Purpose

AllLanguages

Max Binding

http://hl7.org/fhir/ValueSet/languages

from the FHIR Standard

Composition.status

required

Pattern: final

http://hl7.org/fhir/ValueSet/composition-status|4.0.1

from the FHIR Standard

Composition.type

preferred

Pattern: LOINC Code 11450-4("Problem list - Reported")

http://hl7.org/fhir/ValueSet/doc-typecodes

from the FHIR Standard

Composition.confidentiality

required

Pattern: N

http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26

from the FHIR Standard

Composition.attester.mode

required

CompositionAttestationMode

http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1

from the FHIR Standard

Composition.event.code

example

ActCode

http://terminology.hl7.org/ValueSet/v3-ActCode

Snapshot View

Description & Constraints

Composition

0..*

MedComDocumentComposition

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

id

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

versionId

Σ

0..1

id

Version specific identifier

lastUpdated

Σ

0..1

instant

When the resource version last changed

source

Σ

0..1

uri

Identifies where the resource comes from

profile

SΣ

1..1

canonical(StructureDefinition)

Profiles this resource claims to conform to

security

Σ

0..*

Coding

Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.

tag

Σ

0..*

Coding

Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".

implicitRules

?!Σ

0..1

uri

A set of rules under which this content was created

language

S

1..1

code

Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional Bindings

Purpose

AllLanguages

Max Binding

Required Pattern: da

text

S

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

?!SΣ

1..1

code

preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

Required Pattern: final

type

SΣ

1..1

CodeableConcept

Kind of composition (LOINC if possible)
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.

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://loinc.org

version

0..1

string

Version of the system - if relevant

code

1..1

code

Symbol in syntax defined by the system
Fixed Value: 11450-4

display

1..1

string

Representation defined by the system
Fixed Value: Problem list - Reported

userSelected

0..1

boolean

If this coding was chosen directly by the user

text

0..1

string

Plain text representation of the concept

id

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

coding

SΣ

0..*

Coding

Code defined by a terminology system

text

Σ

0..1

string

Plain text representation of the concept

Terminology Bindings

Path Conformance ValueSet / Code URI

Composition.meta.security

extensible

All Security Labels

http://hl7.org/fhir/ValueSet/security-labels

from the FHIR Standard

Composition.meta.tag

example

CommonTags

http://hl7.org/fhir/ValueSet/common-tags

from the FHIR Standard

Composition.language

preferred

Pattern: da

Additional Bindings

Purpose

AllLanguages

Max Binding

http://hl7.org/fhir/ValueSet/languages

from the FHIR Standard

Composition.status

required

Pattern: final

http://hl7.org/fhir/ValueSet/composition-status|4.0.1

from the FHIR Standard

Composition.type

preferred

Pattern: LOINC Code 11450-4("Problem list - Reported")

http://hl7.org/fhir/ValueSet/doc-typecodes

from the FHIR Standard

Composition.category

example

DocumentClassValueSet

http://hl7.org/fhir/ValueSet/document-classcodes

from the FHIR Standard

Composition.confidentiality

required

Pattern: N

http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26

from the FHIR Standard

Composition.attester.mode

required

CompositionAttestationMode

http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1

from the FHIR Standard

Composition.relatesTo.code

required

DocumentRelationshipType

http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1

from the FHIR Standard

Composition.event.code

example

ActCode

http://terminology.hl7.org/ValueSet/v3-ActCode

Composition.section.code

example

DocumentSectionCodes

http://hl7.org/fhir/ValueSet/doc-section-codes

from the FHIR Standard

Composition.section.mode

required

ListMode

http://hl7.org/fhir/ValueSet/list-mode|4.0.1

from the FHIR Standard

Composition.section.orderedBy

preferred

ListOrderCodes

http://hl7.org/fhir/ValueSet/list-order

from the FHIR Standard

Composition.section.emptyReason

preferred

ListEmptyReasons

http://hl7.org/fhir/ValueSet/list-empty-reason

from the FHIR Standard

This structure is derived from MedComDocumentComposition

Summary

Mandatory: 1 element
Must-Support: 1 element

Structures

This structure refers to these other structures:

Other representations of profile: CSV, Excel, Schematron

IG © 2024+ MedCom. Package medcom.fhir.dk.conditionlist#1.0.0 based on FHIR 4.0.1. Generated 2024-11-15
Links: Table of Contents | QA Report | Accessibility statement (Tilgængelighedserklæring)