HL7中国FHIR Connectathon测试实施指南 - Local Development build (v2025.3.12) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: 出院小结共享文档本地化定义

出院小结共享文档本地化定义。

Usage:

• This Resource Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

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

• 关键元素表
• 差异表
• 快照表
• 统计/引用
• 所有

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	Σ	1..1	Identifier	文档的业务标识符 ele-1: All FHIR elements must have a @value or children
status	?!Σ	1..1	code	文档的状态 Binding: CompositionStatus (required): The workflow/clinical status of the composition. ele-1: All FHIR elements must have a @value or children
type	Σ	1..1	CodeableConcept	文档类型，由具体的文档定义指定其类型 Binding: 电子病历共享文档类型代码表 (required) ele-1: All FHIR elements must have a @value or children 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.cn/fhir/connectathon/CodeSystem/emr-document-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: C0053
display		1..1	string	Representation defined by the system Fixed Value: 出院小结
category	Σ	1..1	CodeableConcept	文档的分类：EMR|EHR|PHR Binding: 共享文档类别代码表 (required) ele-1: All FHIR elements must have a @value or children 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.cn/fhir/connectathon/CodeSystem/document-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: EMR
display		1..1	string	Representation defined by the system Fixed Value: 电子病历共享文档
subject	Σ	1..1	Reference(Patient)	指向住院患者 ele-1: All FHIR elements must have a @value or children
encounter	Σ	1..1	Reference(Encounter)	指向记录本次住院活动的就诊资源 ele-1: All FHIR elements must have a @value or children
date	Σ	1..1	dateTime	文档的生成时间 ele-1: All FHIR elements must have a @value or children
author	Σ	1..1	Reference(Practitioner)	文档的作者，指向患者的主治医师 ele-1: All FHIR elements must have a @value or children
title	Σ	1..1	string	文档的标题 ele-1: All FHIR elements must have a @value or children Required Pattern: 出院小结
custodian	Σ	1..1	Reference(Organization)	文档所属管理机构，一般为患者的就诊机构。 ele-1: All FHIR elements must have a @value or children
Slices for section	C	3..*	BackboneElement	文档的具体章节 Slice: Unordered, Open by type:resource 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 ele-1: All FHIR elements must have a @value or children
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title		1..1	string	章节标题 ele-1: All FHIR elements must have a @value or children
code		1..1	CodeableConcept	章节的编码表示 Binding: 共享文档章节代码表 (required) ele-1: All FHIR elements must have a @value or children
entry	C	0..*	Reference(Resource)	章节所包含的条目，指向一个资源 ele-1: All FHIR elements must have a @value or children
section:ReasonForVisit	SC	1..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 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title		1..1	string	章节标题 ele-1: All FHIR elements must have a @value or children Required Pattern: 入院原因
code		1..1	CodeableConcept	章节的编码表示 Binding: 共享文档章节代码表 (required) ele-1: All FHIR elements must have a @value or children 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: 29299-5
display		1..1	string	Representation defined by the system Fixed Value: Reason for visit
entry	C	1..*	Reference(Observation)	指向症状资源 ele-1: All FHIR elements must have a @value or children
section:Diagnosis	SC	1..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 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title		1..1	string	章节标题 ele-1: All FHIR elements must have a @value or children Required Pattern: 出院诊断
code		1..1	CodeableConcept	章节的编码表示 Binding: 共享文档章节代码表 (required) ele-1: All FHIR elements must have a @value or children 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: 11535-2
display		1..1	string	Representation defined by the system Fixed Value: Hospital discharge diagnosis
entry	C	1..*	Reference(Condition)	指向诊断资源 ele-1: All FHIR elements must have a @value or children
section:Medications	SC	1..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 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title		1..1	string	章节标题 ele-1: All FHIR elements must have a @value or children Required Pattern: 出院用药
code		1..1	CodeableConcept	章节的编码表示 Binding: 共享文档章节代码表 (required) ele-1: All FHIR elements must have a @value or children 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: 10183-2
display		1..1	string	Representation defined by the system Fixed Value: Hospital discharge medications
entry	C	1..*	Reference(MedicationRequest)	指向药物请求资源 ele-1: All FHIR elements must have a @value or children
section:Allergies	SC	0..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 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title		1..1	string	章节标题 ele-1: All FHIR elements must have a @value or children Required Pattern: 过敏和不良反应
code		1..1	CodeableConcept	章节的编码表示 Binding: 共享文档章节代码表 (required) ele-1: All FHIR elements must have a @value or children 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: 48765-2
display		1..1	string	Representation defined by the system Fixed Value: Allergies and adverse reactions
entry	C	1..*	Reference(AllergyIntolerance)	指向过敏和不良反应资源 ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|5.0.0 from the FHIR Standard
Composition.type	required	Pattern: C0053("出院小结") http://hl7.org.cn/fhir/connectathon/ValueSet/emr-document-type from this IG
Composition.category	required	Pattern: EMR("电子病历共享文档") http://hl7.org.cn/fhir/connectathon/ValueSet/document-category from this IG
Composition.section.code	required	DocSectionCodes http://hl7.org.cn/fhir/connectathon/ValueSet/doc-section-codes from this IG
Composition.section:ReasonForVisit.code	required	Pattern: LOINC Code 29299-5("Reason for visit") http://hl7.org.cn/fhir/connectathon/ValueSet/doc-section-codes from this IG
Composition.section:Diagnosis.code	required	Pattern: LOINC Code 11535-2("Hospital discharge diagnosis") http://hl7.org.cn/fhir/connectathon/ValueSet/doc-section-codes from this IG
Composition.section:Medications.code	required	Pattern: LOINC Code 10183-2("Hospital discharge medications") http://hl7.org.cn/fhir/connectathon/ValueSet/doc-section-codes from this IG
Composition.section:Allergies.code	required	Pattern: LOINC Code 48765-2("Allergies and adverse reactions") http://hl7.org.cn/fhir/connectathon/ValueSet/doc-section-codes from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:ReasonForVisit, Composition.section:Diagnosis, Composition.section:Medications, Composition.section:Allergies	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:ReasonForVisit, Composition.section:Diagnosis, Composition.section:Medications, Composition.section:Allergies	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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()

该结构继承自 Composition 。

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation
identifier		1..1	Identifier	文档的业务标识符
status		1..1	code	文档的状态
type		1..1	CodeableConcept	文档类型，由具体的文档定义指定其类型 Binding: 电子病历共享文档类型代码表 (required) 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.cn/fhir/connectathon/CodeSystem/emr-document-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: C0053
display		1..1	string	Representation defined by the system Fixed Value: 出院小结
category		1..1	CodeableConcept	文档的分类：EMR|EHR|PHR Binding: 共享文档类别代码表 (required) 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.cn/fhir/connectathon/CodeSystem/document-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: EMR
display		1..1	string	Representation defined by the system Fixed Value: 电子病历共享文档
subject		1..1	Reference(Patient)	指向住院患者
encounter		1..1	Reference(Encounter)	指向记录本次住院活动的就诊资源
date		1..1	dateTime	文档的生成时间
author		1..1	Reference(Practitioner)	文档的作者，指向患者的主治医师
title		1..1	string	文档的标题 Required Pattern: 出院小结
custodian		1..1	Reference(Organization)	文档所属管理机构，一般为患者的就诊机构。
Slices for section		3..*	BackboneElement	文档的具体章节 Slice: Unordered, Open by type:resource
section:All Slices				Content/Rules for all slices
title		1..1	string	章节标题
code		1..1	CodeableConcept	章节的编码表示 Binding: 共享文档章节代码表 (required)
entry		0..*	Reference(Resource)	章节所包含的条目，指向一个资源
section:ReasonForVisit	S	1..1	BackboneElement	Composition is broken into sections
title		1..1	string	章节标题 Required Pattern: 入院原因
code		1..1	CodeableConcept	章节的编码表示 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: 29299-5
display		1..1	string	Representation defined by the system Fixed Value: Reason for visit
entry		1..*	Reference(Observation)	指向症状资源
section:Diagnosis	S	1..1	BackboneElement	Composition is broken into sections
title		1..1	string	章节标题 Required Pattern: 出院诊断
code		1..1	CodeableConcept	章节的编码表示 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: 11535-2
display		1..1	string	Representation defined by the system Fixed Value: Hospital discharge diagnosis
entry		1..*	Reference(Condition)	指向诊断资源
section:Medications	S	1..1	BackboneElement	Composition is broken into sections
title		1..1	string	章节标题 Required Pattern: 出院用药
code		1..1	CodeableConcept	章节的编码表示 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: 10183-2
display		1..1	string	Representation defined by the system Fixed Value: Hospital discharge medications
entry		1..*	Reference(MedicationRequest)	指向药物请求资源
section:Allergies	S	0..1	BackboneElement	Composition is broken into sections
title		1..1	string	章节标题 Required Pattern: 过敏和不良反应
code		1..1	CodeableConcept	章节的编码表示 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: 48765-2
display		1..1	string	Representation defined by the system Fixed Value: Allergies and adverse reactions
entry		1..*	Reference(AllergyIntolerance)	指向过敏和不良反应资源
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet / Code	URI
Composition.type	required	Pattern: C0053("出院小结") http://hl7.org.cn/fhir/connectathon/ValueSet/emr-document-type from this IG
Composition.category	required	Pattern: EMR("电子病历共享文档") http://hl7.org.cn/fhir/connectathon/ValueSet/document-category from this IG
Composition.section.code	required	DocSectionCodes http://hl7.org.cn/fhir/connectathon/ValueSet/doc-section-codes from this IG

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: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set
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	?!Σ	0..*	Extension	Extensions that cannot be ignored
url	Σ	0..1	uri	Canonical identifier for this Composition, represented as a URI (globally unique)
identifier	Σ	1..1	Identifier	文档的业务标识符
version	Σ	0..1	string	An explicitly assigned identifer of a variation of the content in the Composition
status	?!Σ	1..1	code	文档的状态 Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	Σ	1..1	CodeableConcept	文档类型，由具体的文档定义指定其类型 Binding: 电子病历共享文档类型代码表 (required) 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.cn/fhir/connectathon/CodeSystem/emr-document-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: C0053
display		1..1	string	Representation defined by the system Fixed Value: 出院小结
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category	Σ	1..1	CodeableConcept	文档的分类：EMR|EHR|PHR Binding: 共享文档类别代码表 (required) 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.cn/fhir/connectathon/CodeSystem/document-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: EMR
display		1..1	string	Representation defined by the system Fixed Value: 电子病历共享文档
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(Patient)	指向住院患者
encounter	Σ	1..1	Reference(Encounter)	指向记录本次住院活动的就诊资源
date	Σ	1..1	dateTime	文档的生成时间
useContext	Σ	0..*	UsageContext	The context that the content is intended to support
author	Σ	1..1	Reference(Practitioner)	文档的作者，指向患者的主治医师
name	Σ	0..1	string	Name for this Composition (computer friendly)
title	Σ	1..1	string	文档的标题 Required Pattern: 出院小结
note		0..*	Annotation	For any additional notes
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	CodeableConcept	personal | professional | legal | official Binding: CompositionAttestationMode (preferred): 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	1..1	Reference(Organization)	文档所属管理机构，一般为患者的就诊机构。
relatesTo		0..*	RelatedArtifact	Relationships to other compositions/documents
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
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	CodeableReference(Resource)	The event(s) being documented, as code(s), reference(s), or both Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
Slices for section	C	3..*	BackboneElement	文档的具体章节 Slice: Unordered, Open by type:resource 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
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		1..1	string	章节标题
code		1..1	CodeableConcept	章节的编码表示 Binding: 共享文档章节代码表 (required)
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
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)	章节所包含的条目，指向一个资源
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section		0..*	See section (Composition)	Nested Section
section:ReasonForVisit	SC	1..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
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		1..1	string	章节标题 Required Pattern: 入院原因
code		1..1	CodeableConcept	章节的编码表示 Binding: 共享文档章节代码表 (required) 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: 29299-5
display		1..1	string	Representation defined by the system Fixed Value: Reason for visit
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
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	1..*	Reference(Observation)	指向症状资源
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section		0..*	See section (Composition)	Nested Section
section:Diagnosis	SC	1..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
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		1..1	string	章节标题 Required Pattern: 出院诊断
code		1..1	CodeableConcept	章节的编码表示 Binding: 共享文档章节代码表 (required) 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: 11535-2
display		1..1	string	Representation defined by the system Fixed Value: Hospital discharge diagnosis
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
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	1..*	Reference(Condition)	指向诊断资源
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section		0..*	See section (Composition)	Nested Section
section:Medications	SC	1..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
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		1..1	string	章节标题 Required Pattern: 出院用药
code		1..1	CodeableConcept	章节的编码表示 Binding: 共享文档章节代码表 (required) 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: 10183-2
display		1..1	string	Representation defined by the system Fixed Value: Hospital discharge medications
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
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	1..*	Reference(MedicationRequest)	指向药物请求资源
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section		0..*	See section (Composition)	Nested Section
section:Allergies	SC	0..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
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		1..1	string	章节标题 Required Pattern: 过敏和不良反应
code		1..1	CodeableConcept	章节的编码表示 Binding: 共享文档章节代码表 (required) 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: 48765-2
display		1..1	string	Representation defined by the system Fixed Value: Allergies and adverse reactions
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
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	1..*	Reference(AllergyIntolerance)	指向过敏和不良反应资源
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section		0..*	See section (Composition)	Nested Section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|5.0.0 from the FHIR Standard
Composition.type	required	Pattern: C0053("出院小结") http://hl7.org.cn/fhir/connectathon/ValueSet/emr-document-type from this IG
Composition.category	required	Pattern: EMR("电子病历共享文档") http://hl7.org.cn/fhir/connectathon/ValueSet/document-category from this IG
Composition.attester.mode	preferred	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode from the FHIR Standard
Composition.event.detail	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.code	required	DocSectionCodes http://hl7.org.cn/fhir/connectathon/ValueSet/doc-section-codes from this IG
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
Composition.section:ReasonForVisit.code	required	Pattern: LOINC Code 29299-5("Reason for visit") http://hl7.org.cn/fhir/connectathon/ValueSet/doc-section-codes from this IG
Composition.section:ReasonForVisit.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:ReasonForVisit.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:Diagnosis.code	required	Pattern: LOINC Code 11535-2("Hospital discharge diagnosis") http://hl7.org.cn/fhir/connectathon/ValueSet/doc-section-codes from this IG
Composition.section:Diagnosis.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:Diagnosis.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:Medications.code	required	Pattern: LOINC Code 10183-2("Hospital discharge medications") http://hl7.org.cn/fhir/connectathon/ValueSet/doc-section-codes from this IG
Composition.section:Medications.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:Medications.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:Allergies.code	required	Pattern: LOINC Code 48765-2("Allergies and adverse reactions") http://hl7.org.cn/fhir/connectathon/ValueSet/doc-section-codes from this IG
Composition.section:Allergies.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:Allergies.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:ReasonForVisit, Composition.section:Diagnosis, Composition.section:Medications, Composition.section:Allergies	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:ReasonForVisit, Composition.section:Diagnosis, Composition.section:Medications, Composition.section:Allergies	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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()

该结构继承自 Composition 。

Summary

Mandatory: 13 elements(1 nested mandatory element)
Must-Support: 4 elements

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Composition.section

关键元素视图

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	Σ	1..1	Identifier	文档的业务标识符 ele-1: All FHIR elements must have a @value or children
status	?!Σ	1..1	code	文档的状态 Binding: CompositionStatus (required): The workflow/clinical status of the composition. ele-1: All FHIR elements must have a @value or children
type	Σ	1..1	CodeableConcept	文档类型，由具体的文档定义指定其类型 Binding: 电子病历共享文档类型代码表 (required) ele-1: All FHIR elements must have a @value or children 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.cn/fhir/connectathon/CodeSystem/emr-document-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: C0053
display		1..1	string	Representation defined by the system Fixed Value: 出院小结
category	Σ	1..1	CodeableConcept	文档的分类：EMR|EHR|PHR Binding: 共享文档类别代码表 (required) ele-1: All FHIR elements must have a @value or children 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.cn/fhir/connectathon/CodeSystem/document-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: EMR
display		1..1	string	Representation defined by the system Fixed Value: 电子病历共享文档
subject	Σ	1..1	Reference(Patient)	指向住院患者 ele-1: All FHIR elements must have a @value or children
encounter	Σ	1..1	Reference(Encounter)	指向记录本次住院活动的就诊资源 ele-1: All FHIR elements must have a @value or children
date	Σ	1..1	dateTime	文档的生成时间 ele-1: All FHIR elements must have a @value or children
author	Σ	1..1	Reference(Practitioner)	文档的作者，指向患者的主治医师 ele-1: All FHIR elements must have a @value or children
title	Σ	1..1	string	文档的标题 ele-1: All FHIR elements must have a @value or children Required Pattern: 出院小结
custodian	Σ	1..1	Reference(Organization)	文档所属管理机构，一般为患者的就诊机构。 ele-1: All FHIR elements must have a @value or children
Slices for section	C	3..*	BackboneElement	文档的具体章节 Slice: Unordered, Open by type:resource 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 ele-1: All FHIR elements must have a @value or children
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title		1..1	string	章节标题 ele-1: All FHIR elements must have a @value or children
code		1..1	CodeableConcept	章节的编码表示 Binding: 共享文档章节代码表 (required) ele-1: All FHIR elements must have a @value or children
entry	C	0..*	Reference(Resource)	章节所包含的条目，指向一个资源 ele-1: All FHIR elements must have a @value or children
section:ReasonForVisit	SC	1..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 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title		1..1	string	章节标题 ele-1: All FHIR elements must have a @value or children Required Pattern: 入院原因
code		1..1	CodeableConcept	章节的编码表示 Binding: 共享文档章节代码表 (required) ele-1: All FHIR elements must have a @value or children 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: 29299-5
display		1..1	string	Representation defined by the system Fixed Value: Reason for visit
entry	C	1..*	Reference(Observation)	指向症状资源 ele-1: All FHIR elements must have a @value or children
section:Diagnosis	SC	1..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 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title		1..1	string	章节标题 ele-1: All FHIR elements must have a @value or children Required Pattern: 出院诊断
code		1..1	CodeableConcept	章节的编码表示 Binding: 共享文档章节代码表 (required) ele-1: All FHIR elements must have a @value or children 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: 11535-2
display		1..1	string	Representation defined by the system Fixed Value: Hospital discharge diagnosis
entry	C	1..*	Reference(Condition)	指向诊断资源 ele-1: All FHIR elements must have a @value or children
section:Medications	SC	1..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 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title		1..1	string	章节标题 ele-1: All FHIR elements must have a @value or children Required Pattern: 出院用药
code		1..1	CodeableConcept	章节的编码表示 Binding: 共享文档章节代码表 (required) ele-1: All FHIR elements must have a @value or children 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: 10183-2
display		1..1	string	Representation defined by the system Fixed Value: Hospital discharge medications
entry	C	1..*	Reference(MedicationRequest)	指向药物请求资源 ele-1: All FHIR elements must have a @value or children
section:Allergies	SC	0..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 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title		1..1	string	章节标题 ele-1: All FHIR elements must have a @value or children Required Pattern: 过敏和不良反应
code		1..1	CodeableConcept	章节的编码表示 Binding: 共享文档章节代码表 (required) ele-1: All FHIR elements must have a @value or children 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: 48765-2
display		1..1	string	Representation defined by the system Fixed Value: Allergies and adverse reactions
entry	C	1..*	Reference(AllergyIntolerance)	指向过敏和不良反应资源 ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|5.0.0 from the FHIR Standard
Composition.type	required	Pattern: C0053("出院小结") http://hl7.org.cn/fhir/connectathon/ValueSet/emr-document-type from this IG
Composition.category	required	Pattern: EMR("电子病历共享文档") http://hl7.org.cn/fhir/connectathon/ValueSet/document-category from this IG
Composition.section.code	required	DocSectionCodes http://hl7.org.cn/fhir/connectathon/ValueSet/doc-section-codes from this IG
Composition.section:ReasonForVisit.code	required	Pattern: LOINC Code 29299-5("Reason for visit") http://hl7.org.cn/fhir/connectathon/ValueSet/doc-section-codes from this IG
Composition.section:Diagnosis.code	required	Pattern: LOINC Code 11535-2("Hospital discharge diagnosis") http://hl7.org.cn/fhir/connectathon/ValueSet/doc-section-codes from this IG
Composition.section:Medications.code	required	Pattern: LOINC Code 10183-2("Hospital discharge medications") http://hl7.org.cn/fhir/connectathon/ValueSet/doc-section-codes from this IG
Composition.section:Allergies.code	required	Pattern: LOINC Code 48765-2("Allergies and adverse reactions") http://hl7.org.cn/fhir/connectathon/ValueSet/doc-section-codes from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:ReasonForVisit, Composition.section:Diagnosis, Composition.section:Medications, Composition.section:Allergies	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:ReasonForVisit, Composition.section:Diagnosis, Composition.section:Medications, Composition.section:Allergies	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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()

差异视图

该结构继承自 Composition 。

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation
identifier		1..1	Identifier	文档的业务标识符
status		1..1	code	文档的状态
type		1..1	CodeableConcept	文档类型，由具体的文档定义指定其类型 Binding: 电子病历共享文档类型代码表 (required) 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.cn/fhir/connectathon/CodeSystem/emr-document-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: C0053
display		1..1	string	Representation defined by the system Fixed Value: 出院小结
category		1..1	CodeableConcept	文档的分类：EMR|EHR|PHR Binding: 共享文档类别代码表 (required) 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.cn/fhir/connectathon/CodeSystem/document-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: EMR
display		1..1	string	Representation defined by the system Fixed Value: 电子病历共享文档
subject		1..1	Reference(Patient)	指向住院患者
encounter		1..1	Reference(Encounter)	指向记录本次住院活动的就诊资源
date		1..1	dateTime	文档的生成时间
author		1..1	Reference(Practitioner)	文档的作者，指向患者的主治医师
title		1..1	string	文档的标题 Required Pattern: 出院小结
custodian		1..1	Reference(Organization)	文档所属管理机构，一般为患者的就诊机构。
Slices for section		3..*	BackboneElement	文档的具体章节 Slice: Unordered, Open by type:resource
section:All Slices				Content/Rules for all slices
title		1..1	string	章节标题
code		1..1	CodeableConcept	章节的编码表示 Binding: 共享文档章节代码表 (required)
entry		0..*	Reference(Resource)	章节所包含的条目，指向一个资源
section:ReasonForVisit	S	1..1	BackboneElement	Composition is broken into sections
title		1..1	string	章节标题 Required Pattern: 入院原因
code		1..1	CodeableConcept	章节的编码表示 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: 29299-5
display		1..1	string	Representation defined by the system Fixed Value: Reason for visit
entry		1..*	Reference(Observation)	指向症状资源
section:Diagnosis	S	1..1	BackboneElement	Composition is broken into sections
title		1..1	string	章节标题 Required Pattern: 出院诊断
code		1..1	CodeableConcept	章节的编码表示 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: 11535-2
display		1..1	string	Representation defined by the system Fixed Value: Hospital discharge diagnosis
entry		1..*	Reference(Condition)	指向诊断资源
section:Medications	S	1..1	BackboneElement	Composition is broken into sections
title		1..1	string	章节标题 Required Pattern: 出院用药
code		1..1	CodeableConcept	章节的编码表示 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: 10183-2
display		1..1	string	Representation defined by the system Fixed Value: Hospital discharge medications
entry		1..*	Reference(MedicationRequest)	指向药物请求资源
section:Allergies	S	0..1	BackboneElement	Composition is broken into sections
title		1..1	string	章节标题 Required Pattern: 过敏和不良反应
code		1..1	CodeableConcept	章节的编码表示 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: 48765-2
display		1..1	string	Representation defined by the system Fixed Value: Allergies and adverse reactions
entry		1..*	Reference(AllergyIntolerance)	指向过敏和不良反应资源
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet / Code	URI
Composition.type	required	Pattern: C0053("出院小结") http://hl7.org.cn/fhir/connectathon/ValueSet/emr-document-type from this IG
Composition.category	required	Pattern: EMR("电子病历共享文档") http://hl7.org.cn/fhir/connectathon/ValueSet/document-category from this IG
Composition.section.code	required	DocSectionCodes http://hl7.org.cn/fhir/connectathon/ValueSet/doc-section-codes from this IG

快照视图

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: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set
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	?!Σ	0..*	Extension	Extensions that cannot be ignored
url	Σ	0..1	uri	Canonical identifier for this Composition, represented as a URI (globally unique)
identifier	Σ	1..1	Identifier	文档的业务标识符
version	Σ	0..1	string	An explicitly assigned identifer of a variation of the content in the Composition
status	?!Σ	1..1	code	文档的状态 Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	Σ	1..1	CodeableConcept	文档类型，由具体的文档定义指定其类型 Binding: 电子病历共享文档类型代码表 (required) 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.cn/fhir/connectathon/CodeSystem/emr-document-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: C0053
display		1..1	string	Representation defined by the system Fixed Value: 出院小结
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category	Σ	1..1	CodeableConcept	文档的分类：EMR|EHR|PHR Binding: 共享文档类别代码表 (required) 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.cn/fhir/connectathon/CodeSystem/document-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: EMR
display		1..1	string	Representation defined by the system Fixed Value: 电子病历共享文档
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(Patient)	指向住院患者
encounter	Σ	1..1	Reference(Encounter)	指向记录本次住院活动的就诊资源
date	Σ	1..1	dateTime	文档的生成时间
useContext	Σ	0..*	UsageContext	The context that the content is intended to support
author	Σ	1..1	Reference(Practitioner)	文档的作者，指向患者的主治医师
name	Σ	0..1	string	Name for this Composition (computer friendly)
title	Σ	1..1	string	文档的标题 Required Pattern: 出院小结
note		0..*	Annotation	For any additional notes
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	CodeableConcept	personal | professional | legal | official Binding: CompositionAttestationMode (preferred): 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	1..1	Reference(Organization)	文档所属管理机构，一般为患者的就诊机构。
relatesTo		0..*	RelatedArtifact	Relationships to other compositions/documents
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
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	CodeableReference(Resource)	The event(s) being documented, as code(s), reference(s), or both Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
Slices for section	C	3..*	BackboneElement	文档的具体章节 Slice: Unordered, Open by type:resource 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
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		1..1	string	章节标题
code		1..1	CodeableConcept	章节的编码表示 Binding: 共享文档章节代码表 (required)
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
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)	章节所包含的条目，指向一个资源
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section		0..*	See section (Composition)	Nested Section
section:ReasonForVisit	SC	1..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
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		1..1	string	章节标题 Required Pattern: 入院原因
code		1..1	CodeableConcept	章节的编码表示 Binding: 共享文档章节代码表 (required) 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: 29299-5
display		1..1	string	Representation defined by the system Fixed Value: Reason for visit
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
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	1..*	Reference(Observation)	指向症状资源
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section		0..*	See section (Composition)	Nested Section
section:Diagnosis	SC	1..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
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		1..1	string	章节标题 Required Pattern: 出院诊断
code		1..1	CodeableConcept	章节的编码表示 Binding: 共享文档章节代码表 (required) 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: 11535-2
display		1..1	string	Representation defined by the system Fixed Value: Hospital discharge diagnosis
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
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	1..*	Reference(Condition)	指向诊断资源
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section		0..*	See section (Composition)	Nested Section
section:Medications	SC	1..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
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		1..1	string	章节标题 Required Pattern: 出院用药
code		1..1	CodeableConcept	章节的编码表示 Binding: 共享文档章节代码表 (required) 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: 10183-2
display		1..1	string	Representation defined by the system Fixed Value: Hospital discharge medications
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
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	1..*	Reference(MedicationRequest)	指向药物请求资源
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section		0..*	See section (Composition)	Nested Section
section:Allergies	SC	0..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
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		1..1	string	章节标题 Required Pattern: 过敏和不良反应
code		1..1	CodeableConcept	章节的编码表示 Binding: 共享文档章节代码表 (required) 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: 48765-2
display		1..1	string	Representation defined by the system Fixed Value: Allergies and adverse reactions
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
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	1..*	Reference(AllergyIntolerance)	指向过敏和不良反应资源
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section		0..*	See section (Composition)	Nested Section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|5.0.0 from the FHIR Standard
Composition.type	required	Pattern: C0053("出院小结") http://hl7.org.cn/fhir/connectathon/ValueSet/emr-document-type from this IG
Composition.category	required	Pattern: EMR("电子病历共享文档") http://hl7.org.cn/fhir/connectathon/ValueSet/document-category from this IG
Composition.attester.mode	preferred	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode from the FHIR Standard
Composition.event.detail	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.code	required	DocSectionCodes http://hl7.org.cn/fhir/connectathon/ValueSet/doc-section-codes from this IG
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
Composition.section:ReasonForVisit.code	required	Pattern: LOINC Code 29299-5("Reason for visit") http://hl7.org.cn/fhir/connectathon/ValueSet/doc-section-codes from this IG
Composition.section:ReasonForVisit.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:ReasonForVisit.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:Diagnosis.code	required	Pattern: LOINC Code 11535-2("Hospital discharge diagnosis") http://hl7.org.cn/fhir/connectathon/ValueSet/doc-section-codes from this IG
Composition.section:Diagnosis.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:Diagnosis.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:Medications.code	required	Pattern: LOINC Code 10183-2("Hospital discharge medications") http://hl7.org.cn/fhir/connectathon/ValueSet/doc-section-codes from this IG
Composition.section:Medications.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:Medications.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:Allergies.code	required	Pattern: LOINC Code 48765-2("Allergies and adverse reactions") http://hl7.org.cn/fhir/connectathon/ValueSet/doc-section-codes from this IG
Composition.section:Allergies.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:Allergies.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:ReasonForVisit, Composition.section:Diagnosis, Composition.section:Medications, Composition.section:Allergies	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:ReasonForVisit, Composition.section:Diagnosis, Composition.section:Medications, Composition.section:Allergies	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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()

该结构继承自 Composition 。

Summary

Mandatory: 13 elements(1 nested mandatory element)
Must-Support: 4 elements

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Composition.section